tag:blogger.com,1999:blog-524772912421136282024-03-19T02:43:18.726-07:00Good Health And YouAll the Health information are intended for sharing purposed.Viewer discretion.Hope that you enjoy reading my Blog and do come back for more interesting healthy information. Eat well, sleep well, stay stress free and stay healthy.Unknownnoreply@blogger.comBlogger264125tag:blogger.com,1999:blog-52477291242113628.post-90911864864087164882013-10-10T08:19:00.000-07:002013-10-10T08:20:37.276-07:00Smoking And Pregnancy Free APPS<!--[if gte mso 9]><xml>
<w:WordDocument>
<w:View>Normal</w:View>
<w:Zoom>0</w:Zoom>
<w:TrackMoves/>
<w:TrackFormatting/>
<w:PunctuationKerning/>
<w:ValidateAgainstSchemas/>
<w:SaveIfXMLInvalid>false</w:SaveIfXMLInvalid>
<w:IgnoreMixedContent>false</w:IgnoreMixedContent>
<w:AlwaysShowPlaceholderText>false</w:AlwaysShowPlaceholderText>
<w:DoNotPromoteQF/>
<w:LidThemeOther>EN-SG</w:LidThemeOther>
<w:LidThemeAsian>X-NONE</w:LidThemeAsian>
<w:LidThemeComplexScript>X-NONE</w:LidThemeComplexScript>
<w:Compatibility>
<w:BreakWrappedTables/>
<w:SnapToGridInCell/>
<w:WrapTextWithPunct/>
<w:UseAsianBreakRules/>
<w:DontGrowAutofit/>
<w:SplitPgBreakAndParaMark/>
<w:DontVertAlignCellWithSp/>
<w:DontBreakConstrainedForcedTables/>
<w:DontVertAlignInTxbx/>
<w:Word11KerningPairs/>
<w:CachedColBalance/>
<w:UseFELayout/>
</w:Compatibility>
<w:BrowserLevel>MicrosoftInternetExplorer4</w:BrowserLevel>
<m:mathPr>
<m:mathFont m:val="Cambria Math"/>
<m:brkBin m:val="before"/>
<m:brkBinSub m:val="--"/>
<m:smallFrac m:val="off"/>
<m:dispDef/>
<m:lMargin m:val="0"/>
<m:rMargin m:val="0"/>
<m:defJc m:val="centerGroup"/>
<m:wrapIndent m:val="1440"/>
<m:intLim m:val="subSup"/>
<m:naryLim m:val="undOvr"/>
</m:mathPr></w:WordDocument>
</xml><![endif]--><br />
<h2>
<!--[if gte mso 9]><xml>
<w:LatentStyles DefLockedState="false" DefUnhideWhenUsed="true"
DefSemiHidden="true" DefQFormat="false" DefPriority="99"
LatentStyleCount="267">
<w:LsdException Locked="false" Priority="0" SemiHidden="false"
UnhideWhenUsed="false" QFormat="true" Name="Normal"/>
<w:LsdException Locked="false" Priority="9" SemiHidden="false"
UnhideWhenUsed="false" QFormat="true" Name="heading 1"/>
<w:LsdException Locked="false" Priority="9" QFormat="true" Name="heading 2"/>
<w:LsdException Locked="false" Priority="9" QFormat="true" Name="heading 3"/>
<w:LsdException Locked="false" Priority="9" QFormat="true" Name="heading 4"/>
<w:LsdException Locked="false" Priority="9" QFormat="true" Name="heading 5"/>
<w:LsdException Locked="false" Priority="9" QFormat="true" Name="heading 6"/>
<w:LsdException Locked="false" Priority="9" QFormat="true" Name="heading 7"/>
<w:LsdException Locked="false" Priority="9" QFormat="true" Name="heading 8"/>
<w:LsdException Locked="false" Priority="9" QFormat="true" Name="heading 9"/>
<w:LsdException Locked="false" Priority="39" Name="toc 1"/>
<w:LsdException Locked="false" Priority="39" Name="toc 2"/>
<w:LsdException Locked="false" Priority="39" Name="toc 3"/>
<w:LsdException Locked="false" Priority="39" Name="toc 4"/>
<w:LsdException Locked="false" Priority="39" Name="toc 5"/>
<w:LsdException Locked="false" Priority="39" Name="toc 6"/>
<w:LsdException Locked="false" Priority="39" Name="toc 7"/>
<w:LsdException Locked="false" Priority="39" Name="toc 8"/>
<w:LsdException Locked="false" Priority="39" Name="toc 9"/>
<w:LsdException Locked="false" Priority="35" QFormat="true" Name="caption"/>
<w:LsdException Locked="false" Priority="10" SemiHidden="false"
UnhideWhenUsed="false" QFormat="true" Name="Title"/>
<w:LsdException Locked="false" Priority="1" Name="Default Paragraph Font"/>
<w:LsdException Locked="false" Priority="11" SemiHidden="false"
UnhideWhenUsed="false" QFormat="true" Name="Subtitle"/>
<w:LsdException Locked="false" Priority="0" Name="Hyperlink"/>
<w:LsdException Locked="false" Priority="22" SemiHidden="false"
UnhideWhenUsed="false" QFormat="true" Name="Strong"/>
<w:LsdException Locked="false" Priority="20" SemiHidden="false"
UnhideWhenUsed="false" QFormat="true" Name="Emphasis"/>
<w:LsdException Locked="false" Priority="59" SemiHidden="false"
UnhideWhenUsed="false" Name="Table Grid"/>
<w:LsdException Locked="false" UnhideWhenUsed="false" Name="Placeholder Text"/>
<w:LsdException Locked="false" Priority="1" SemiHidden="false"
UnhideWhenUsed="false" QFormat="true" Name="No Spacing"/>
<w:LsdException Locked="false" Priority="60" SemiHidden="false"
UnhideWhenUsed="false" Name="Light Shading"/>
<w:LsdException Locked="false" Priority="61" SemiHidden="false"
UnhideWhenUsed="false" Name="Light List"/>
<w:LsdException Locked="false" Priority="62" SemiHidden="false"
UnhideWhenUsed="false" Name="Light Grid"/>
<w:LsdException Locked="false" Priority="63" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium Shading 1"/>
<w:LsdException Locked="false" Priority="64" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium Shading 2"/>
<w:LsdException Locked="false" Priority="65" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium List 1"/>
<w:LsdException Locked="false" Priority="66" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium List 2"/>
<w:LsdException Locked="false" Priority="67" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium Grid 1"/>
<w:LsdException Locked="false" Priority="68" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium Grid 2"/>
<w:LsdException Locked="false" Priority="69" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium Grid 3"/>
<w:LsdException Locked="false" Priority="70" SemiHidden="false"
UnhideWhenUsed="false" Name="Dark List"/>
<w:LsdException Locked="false" Priority="71" SemiHidden="false"
UnhideWhenUsed="false" Name="Colorful Shading"/>
<w:LsdException Locked="false" Priority="72" SemiHidden="false"
UnhideWhenUsed="false" Name="Colorful List"/>
<w:LsdException Locked="false" Priority="73" SemiHidden="false"
UnhideWhenUsed="false" Name="Colorful Grid"/>
<w:LsdException Locked="false" Priority="60" SemiHidden="false"
UnhideWhenUsed="false" Name="Light Shading Accent 1"/>
<w:LsdException Locked="false" Priority="61" SemiHidden="false"
UnhideWhenUsed="false" Name="Light List Accent 1"/>
<w:LsdException Locked="false" Priority="62" SemiHidden="false"
UnhideWhenUsed="false" Name="Light Grid Accent 1"/>
<w:LsdException Locked="false" Priority="63" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium Shading 1 Accent 1"/>
<w:LsdException Locked="false" Priority="64" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium Shading 2 Accent 1"/>
<w:LsdException Locked="false" Priority="65" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium List 1 Accent 1"/>
<w:LsdException Locked="false" UnhideWhenUsed="false" Name="Revision"/>
<w:LsdException Locked="false" Priority="34" SemiHidden="false"
UnhideWhenUsed="false" QFormat="true" Name="List Paragraph"/>
<w:LsdException Locked="false" Priority="29" SemiHidden="false"
UnhideWhenUsed="false" QFormat="true" Name="Quote"/>
<w:LsdException Locked="false" Priority="30" SemiHidden="false"
UnhideWhenUsed="false" QFormat="true" Name="Intense Quote"/>
<w:LsdException Locked="false" Priority="66" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium List 2 Accent 1"/>
<w:LsdException Locked="false" Priority="67" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium Grid 1 Accent 1"/>
<w:LsdException Locked="false" Priority="68" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium Grid 2 Accent 1"/>
<w:LsdException Locked="false" Priority="69" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium Grid 3 Accent 1"/>
<w:LsdException Locked="false" Priority="70" SemiHidden="false"
UnhideWhenUsed="false" Name="Dark List Accent 1"/>
<w:LsdException Locked="false" Priority="71" SemiHidden="false"
UnhideWhenUsed="false" Name="Colorful Shading Accent 1"/>
<w:LsdException Locked="false" Priority="72" SemiHidden="false"
UnhideWhenUsed="false" Name="Colorful List Accent 1"/>
<w:LsdException Locked="false" Priority="73" SemiHidden="false"
UnhideWhenUsed="false" Name="Colorful Grid Accent 1"/>
<w:LsdException Locked="false" Priority="60" SemiHidden="false"
UnhideWhenUsed="false" Name="Light Shading Accent 2"/>
<w:LsdException Locked="false" Priority="61" SemiHidden="false"
UnhideWhenUsed="false" Name="Light List Accent 2"/>
<w:LsdException Locked="false" Priority="62" SemiHidden="false"
UnhideWhenUsed="false" Name="Light Grid Accent 2"/>
<w:LsdException Locked="false" Priority="63" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium Shading 1 Accent 2"/>
<w:LsdException Locked="false" Priority="64" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium Shading 2 Accent 2"/>
<w:LsdException Locked="false" Priority="65" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium List 1 Accent 2"/>
<w:LsdException Locked="false" Priority="66" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium List 2 Accent 2"/>
<w:LsdException Locked="false" Priority="67" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium Grid 1 Accent 2"/>
<w:LsdException Locked="false" Priority="68" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium Grid 2 Accent 2"/>
<w:LsdException Locked="false" Priority="69" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium Grid 3 Accent 2"/>
<w:LsdException Locked="false" Priority="70" SemiHidden="false"
UnhideWhenUsed="false" Name="Dark List Accent 2"/>
<w:LsdException Locked="false" Priority="71" SemiHidden="false"
UnhideWhenUsed="false" Name="Colorful Shading Accent 2"/>
<w:LsdException Locked="false" Priority="72" SemiHidden="false"
UnhideWhenUsed="false" Name="Colorful List Accent 2"/>
<w:LsdException Locked="false" Priority="73" SemiHidden="false"
UnhideWhenUsed="false" Name="Colorful Grid Accent 2"/>
<w:LsdException Locked="false" Priority="60" SemiHidden="false"
UnhideWhenUsed="false" Name="Light Shading Accent 3"/>
<w:LsdException Locked="false" Priority="61" SemiHidden="false"
UnhideWhenUsed="false" Name="Light List Accent 3"/>
<w:LsdException Locked="false" Priority="62" SemiHidden="false"
UnhideWhenUsed="false" Name="Light Grid Accent 3"/>
<w:LsdException Locked="false" Priority="63" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium Shading 1 Accent 3"/>
<w:LsdException Locked="false" Priority="64" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium Shading 2 Accent 3"/>
<w:LsdException Locked="false" Priority="65" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium List 1 Accent 3"/>
<w:LsdException Locked="false" Priority="66" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium List 2 Accent 3"/>
<w:LsdException Locked="false" Priority="67" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium Grid 1 Accent 3"/>
<w:LsdException Locked="false" Priority="68" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium Grid 2 Accent 3"/>
<w:LsdException Locked="false" Priority="69" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium Grid 3 Accent 3"/>
<w:LsdException Locked="false" Priority="70" SemiHidden="false"
UnhideWhenUsed="false" Name="Dark List Accent 3"/>
<w:LsdException Locked="false" Priority="71" SemiHidden="false"
UnhideWhenUsed="false" Name="Colorful Shading Accent 3"/>
<w:LsdException Locked="false" Priority="72" SemiHidden="false"
UnhideWhenUsed="false" Name="Colorful List Accent 3"/>
<w:LsdException Locked="false" Priority="73" SemiHidden="false"
UnhideWhenUsed="false" Name="Colorful Grid Accent 3"/>
<w:LsdException Locked="false" Priority="60" SemiHidden="false"
UnhideWhenUsed="false" Name="Light Shading Accent 4"/>
<w:LsdException Locked="false" Priority="61" SemiHidden="false"
UnhideWhenUsed="false" Name="Light List Accent 4"/>
<w:LsdException Locked="false" Priority="62" SemiHidden="false"
UnhideWhenUsed="false" Name="Light Grid Accent 4"/>
<w:LsdException Locked="false" Priority="63" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium Shading 1 Accent 4"/>
<w:LsdException Locked="false" Priority="64" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium Shading 2 Accent 4"/>
<w:LsdException Locked="false" Priority="65" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium List 1 Accent 4"/>
<w:LsdException Locked="false" Priority="66" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium List 2 Accent 4"/>
<w:LsdException Locked="false" Priority="67" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium Grid 1 Accent 4"/>
<w:LsdException Locked="false" Priority="68" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium Grid 2 Accent 4"/>
<w:LsdException Locked="false" Priority="69" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium Grid 3 Accent 4"/>
<w:LsdException Locked="false" Priority="70" SemiHidden="false"
UnhideWhenUsed="false" Name="Dark List Accent 4"/>
<w:LsdException Locked="false" Priority="71" SemiHidden="false"
UnhideWhenUsed="false" Name="Colorful Shading Accent 4"/>
<w:LsdException Locked="false" Priority="72" SemiHidden="false"
UnhideWhenUsed="false" Name="Colorful List Accent 4"/>
<w:LsdException Locked="false" Priority="73" SemiHidden="false"
UnhideWhenUsed="false" Name="Colorful Grid Accent 4"/>
<w:LsdException Locked="false" Priority="60" SemiHidden="false"
UnhideWhenUsed="false" Name="Light Shading Accent 5"/>
<w:LsdException Locked="false" Priority="61" SemiHidden="false"
UnhideWhenUsed="false" Name="Light List Accent 5"/>
<w:LsdException Locked="false" Priority="62" SemiHidden="false"
UnhideWhenUsed="false" Name="Light Grid Accent 5"/>
<w:LsdException Locked="false" Priority="63" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium Shading 1 Accent 5"/>
<w:LsdException Locked="false" Priority="64" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium Shading 2 Accent 5"/>
<w:LsdException Locked="false" Priority="65" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium List 1 Accent 5"/>
<w:LsdException Locked="false" Priority="66" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium List 2 Accent 5"/>
<w:LsdException Locked="false" Priority="67" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium Grid 1 Accent 5"/>
<w:LsdException Locked="false" Priority="68" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium Grid 2 Accent 5"/>
<w:LsdException Locked="false" Priority="69" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium Grid 3 Accent 5"/>
<w:LsdException Locked="false" Priority="70" SemiHidden="false"
UnhideWhenUsed="false" Name="Dark List Accent 5"/>
<w:LsdException Locked="false" Priority="71" SemiHidden="false"
UnhideWhenUsed="false" Name="Colorful Shading Accent 5"/>
<w:LsdException Locked="false" Priority="72" SemiHidden="false"
UnhideWhenUsed="false" Name="Colorful List Accent 5"/>
<w:LsdException Locked="false" Priority="73" SemiHidden="false"
UnhideWhenUsed="false" Name="Colorful Grid Accent 5"/>
<w:LsdException Locked="false" Priority="60" SemiHidden="false"
UnhideWhenUsed="false" Name="Light Shading Accent 6"/>
<w:LsdException Locked="false" Priority="61" SemiHidden="false"
UnhideWhenUsed="false" Name="Light List Accent 6"/>
<w:LsdException Locked="false" Priority="62" SemiHidden="false"
UnhideWhenUsed="false" Name="Light Grid Accent 6"/>
<w:LsdException Locked="false" Priority="63" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium Shading 1 Accent 6"/>
<w:LsdException Locked="false" Priority="64" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium Shading 2 Accent 6"/>
<w:LsdException Locked="false" Priority="65" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium List 1 Accent 6"/>
<w:LsdException Locked="false" Priority="66" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium List 2 Accent 6"/>
<w:LsdException Locked="false" Priority="67" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium Grid 1 Accent 6"/>
<w:LsdException Locked="false" Priority="68" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium Grid 2 Accent 6"/>
<w:LsdException Locked="false" Priority="69" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium Grid 3 Accent 6"/>
<w:LsdException Locked="false" Priority="70" SemiHidden="false"
UnhideWhenUsed="false" Name="Dark List Accent 6"/>
<w:LsdException Locked="false" Priority="71" SemiHidden="false"
UnhideWhenUsed="false" Name="Colorful Shading Accent 6"/>
<w:LsdException Locked="false" Priority="72" SemiHidden="false"
UnhideWhenUsed="false" Name="Colorful List Accent 6"/>
<w:LsdException Locked="false" Priority="73" SemiHidden="false"
UnhideWhenUsed="false" Name="Colorful Grid Accent 6"/>
<w:LsdException Locked="false" Priority="19" SemiHidden="false"
UnhideWhenUsed="false" QFormat="true" Name="Subtle Emphasis"/>
<w:LsdException Locked="false" Priority="21" SemiHidden="false"
UnhideWhenUsed="false" QFormat="true" Name="Intense Emphasis"/>
<w:LsdException Locked="false" Priority="31" SemiHidden="false"
UnhideWhenUsed="false" QFormat="true" Name="Subtle Reference"/>
<w:LsdException Locked="false" Priority="32" SemiHidden="false"
UnhideWhenUsed="false" QFormat="true" Name="Intense Reference"/>
<w:LsdException Locked="false" Priority="33" SemiHidden="false"
UnhideWhenUsed="false" QFormat="true" Name="Book Title"/>
<w:LsdException Locked="false" Priority="37" Name="Bibliography"/>
<w:LsdException Locked="false" Priority="39" QFormat="true" Name="TOC Heading"/>
</w:LatentStyles>
</xml><![endif]--><!--[if gte mso 10]>
<style>
/* Style Definitions */
table.MsoNormalTable
{mso-style-name:"Table Normal";
mso-tstyle-rowband-size:0;
mso-tstyle-colband-size:0;
mso-style-noshow:yes;
mso-style-priority:99;
mso-style-qformat:yes;
mso-style-parent:"";
mso-padding-alt:0cm 5.4pt 0cm 5.4pt;
mso-para-margin:0cm;
mso-para-margin-bottom:.0001pt;
mso-pagination:widow-orphan;
font-size:11.0pt;
font-family:"Calibri","sans-serif";
mso-ascii-font-family:Calibri;
mso-ascii-theme-font:minor-latin;
mso-fareast-font-family:"Times New Roman";
mso-fareast-theme-font:minor-fareast;
mso-hansi-font-family:Calibri;
mso-hansi-theme-font:minor-latin;
mso-bidi-font-family:"Times New Roman";
mso-bidi-theme-font:minor-bidi;}
</style>
<![endif]--><span style="font-size: x-large;"><span lang="EN-US" style="color: black; font-family: "Tahoma","sans-serif";">This is a good app for android <a href="https://play.google.com/store/apps/details?id=org.mobileappforce.smokingandpregnancy" target="_blank">Smoking And Pregnancy </a></span></span></h2>
<div class="separator" style="clear: both; text-align: center;">
<a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEhrRjxCHQw6S5WcVxZa2Eb1prwTLbtJ2QaYMmFF-kAMAR4ygQumX78BELKiNsJGkTeTNIORBZh1lAt3_8jPVBqbcYlzbhyphenhyphenHcYnb-SVPBZe5hPrv0eRjutuvTimDyLcL2s_48Tj88C1AHdE/s1600/Smoking_and_Paegnancy_QR_Code.png" imageanchor="1" style="margin-left: 1em; margin-right: 1em;"><img border="0" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEhrRjxCHQw6S5WcVxZa2Eb1prwTLbtJ2QaYMmFF-kAMAR4ygQumX78BELKiNsJGkTeTNIORBZh1lAt3_8jPVBqbcYlzbhyphenhyphenHcYnb-SVPBZe5hPrv0eRjutuvTimDyLcL2s_48Tj88C1AHdE/s1600/Smoking_and_Paegnancy_QR_Code.png" /></a></div>
<span style="font-family: Verdana,sans-serif;"><b>(Scan the QR code to download Free Smoking And Pregnancy App)</b></span><br />
<br />
<span style="font-size: large;">To help mom to be with smoking problem. Understand how smoking can affect your health and unborn baby.<br />Good collected information text , video and help link to be share in the app.</span><br />
<span style="font-size: large;">-Smoking Cessation<br />-Maternal health<br />-Women and smoking<br />-May cause Breastfeeding Difficulties<br />-Smoking Causes Cancer, Heart Disease, Emphysema <br />-The effects of smoking on pre-natal development<br />-Quit Smoking Tips<br />-EFFECTS OF SMOKING<br />-Puzzle games to relax</span><br />
<span style="font-size: large;">"GET YOUR LIFE BACK!!!"</span><br />
<br />
<span style="font-size: large;"><!--[if gte mso 9]><xml>
<w:WordDocument>
<w:View>Normal</w:View>
<w:Zoom>0</w:Zoom>
<w:TrackMoves/>
<w:TrackFormatting/>
<w:PunctuationKerning/>
<w:ValidateAgainstSchemas/>
<w:SaveIfXMLInvalid>false</w:SaveIfXMLInvalid>
<w:IgnoreMixedContent>false</w:IgnoreMixedContent>
<w:AlwaysShowPlaceholderText>false</w:AlwaysShowPlaceholderText>
<w:DoNotPromoteQF/>
<w:LidThemeOther>EN-SG</w:LidThemeOther>
<w:LidThemeAsian>X-NONE</w:LidThemeAsian>
<w:LidThemeComplexScript>X-NONE</w:LidThemeComplexScript>
<w:Compatibility>
<w:BreakWrappedTables/>
<w:SnapToGridInCell/>
<w:WrapTextWithPunct/>
<w:UseAsianBreakRules/>
<w:DontGrowAutofit/>
<w:SplitPgBreakAndParaMark/>
<w:DontVertAlignCellWithSp/>
<w:DontBreakConstrainedForcedTables/>
<w:DontVertAlignInTxbx/>
<w:Word11KerningPairs/>
<w:CachedColBalance/>
</w:Compatibility>
<m:mathPr>
<m:mathFont m:val="Cambria Math"/>
<m:brkBin m:val="before"/>
<m:brkBinSub m:val="--"/>
<m:smallFrac m:val="off"/>
<m:dispDef/>
<m:lMargin m:val="0"/>
<m:rMargin m:val="0"/>
<m:defJc m:val="centerGroup"/>
<m:wrapIndent m:val="1440"/>
<m:intLim m:val="subSup"/>
<m:naryLim m:val="undOvr"/>
</m:mathPr></w:WordDocument>
</xml><![endif]--></span><br />
<span style="font-size: large;"><!--[if gte mso 9]><xml>
<w:LatentStyles DefLockedState="false" DefUnhideWhenUsed="true"
DefSemiHidden="true" DefQFormat="false" DefPriority="99"
LatentStyleCount="267">
<w:LsdException Locked="false" Priority="0" SemiHidden="false"
UnhideWhenUsed="false" QFormat="true" Name="Normal"/>
<w:LsdException Locked="false" Priority="9" SemiHidden="false"
UnhideWhenUsed="false" QFormat="true" Name="heading 1"/>
<w:LsdException Locked="false" Priority="9" QFormat="true" Name="heading 2"/>
<w:LsdException Locked="false" Priority="9" QFormat="true" Name="heading 3"/>
<w:LsdException Locked="false" Priority="9" QFormat="true" Name="heading 4"/>
<w:LsdException Locked="false" Priority="9" QFormat="true" Name="heading 5"/>
<w:LsdException Locked="false" Priority="9" QFormat="true" Name="heading 6"/>
<w:LsdException Locked="false" Priority="9" QFormat="true" Name="heading 7"/>
<w:LsdException Locked="false" Priority="9" QFormat="true" Name="heading 8"/>
<w:LsdException Locked="false" Priority="9" QFormat="true" Name="heading 9"/>
<w:LsdException Locked="false" Priority="39" Name="toc 1"/>
<w:LsdException Locked="false" Priority="39" Name="toc 2"/>
<w:LsdException Locked="false" Priority="39" Name="toc 3"/>
<w:LsdException Locked="false" Priority="39" Name="toc 4"/>
<w:LsdException Locked="false" Priority="39" Name="toc 5"/>
<w:LsdException Locked="false" Priority="39" Name="toc 6"/>
<w:LsdException Locked="false" Priority="39" Name="toc 7"/>
<w:LsdException Locked="false" Priority="39" Name="toc 8"/>
<w:LsdException Locked="false" Priority="39" Name="toc 9"/>
<w:LsdException Locked="false" Priority="35" QFormat="true" Name="caption"/>
<w:LsdException Locked="false" Priority="10" SemiHidden="false"
UnhideWhenUsed="false" QFormat="true" Name="Title"/>
<w:LsdException Locked="false" Priority="1" Name="Default Paragraph Font"/>
<w:LsdException Locked="false" Priority="11" SemiHidden="false"
UnhideWhenUsed="false" QFormat="true" Name="Subtitle"/>
<w:LsdException Locked="false" Priority="0" Name="Hyperlink"/>
<w:LsdException Locked="false" Priority="22" SemiHidden="false"
UnhideWhenUsed="false" QFormat="true" Name="Strong"/>
<w:LsdException Locked="false" Priority="20" SemiHidden="false"
UnhideWhenUsed="false" QFormat="true" Name="Emphasis"/>
<w:LsdException Locked="false" Priority="59" SemiHidden="false"
UnhideWhenUsed="false" Name="Table Grid"/>
<w:LsdException Locked="false" UnhideWhenUsed="false" Name="Placeholder Text"/>
<w:LsdException Locked="false" Priority="1" SemiHidden="false"
UnhideWhenUsed="false" QFormat="true" Name="No Spacing"/>
<w:LsdException Locked="false" Priority="60" SemiHidden="false"
UnhideWhenUsed="false" Name="Light Shading"/>
<w:LsdException Locked="false" Priority="61" SemiHidden="false"
UnhideWhenUsed="false" Name="Light List"/>
<w:LsdException Locked="false" Priority="62" SemiHidden="false"
UnhideWhenUsed="false" Name="Light Grid"/>
<w:LsdException Locked="false" Priority="63" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium Shading 1"/>
<w:LsdException Locked="false" Priority="64" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium Shading 2"/>
<w:LsdException Locked="false" Priority="65" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium List 1"/>
<w:LsdException Locked="false" Priority="66" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium List 2"/>
<w:LsdException Locked="false" Priority="67" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium Grid 1"/>
<w:LsdException Locked="false" Priority="68" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium Grid 2"/>
<w:LsdException Locked="false" Priority="69" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium Grid 3"/>
<w:LsdException Locked="false" Priority="70" SemiHidden="false"
UnhideWhenUsed="false" Name="Dark List"/>
<w:LsdException Locked="false" Priority="71" SemiHidden="false"
UnhideWhenUsed="false" Name="Colorful Shading"/>
<w:LsdException Locked="false" Priority="72" SemiHidden="false"
UnhideWhenUsed="false" Name="Colorful List"/>
<w:LsdException Locked="false" Priority="73" SemiHidden="false"
UnhideWhenUsed="false" Name="Colorful Grid"/>
<w:LsdException Locked="false" Priority="60" SemiHidden="false"
UnhideWhenUsed="false" Name="Light Shading Accent 1"/>
<w:LsdException Locked="false" Priority="61" SemiHidden="false"
UnhideWhenUsed="false" Name="Light List Accent 1"/>
<w:LsdException Locked="false" Priority="62" SemiHidden="false"
UnhideWhenUsed="false" Name="Light Grid Accent 1"/>
<w:LsdException Locked="false" Priority="63" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium Shading 1 Accent 1"/>
<w:LsdException Locked="false" Priority="64" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium Shading 2 Accent 1"/>
<w:LsdException Locked="false" Priority="65" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium List 1 Accent 1"/>
<w:LsdException Locked="false" UnhideWhenUsed="false" Name="Revision"/>
<w:LsdException Locked="false" Priority="34" SemiHidden="false"
UnhideWhenUsed="false" QFormat="true" Name="List Paragraph"/>
<w:LsdException Locked="false" Priority="29" SemiHidden="false"
UnhideWhenUsed="false" QFormat="true" Name="Quote"/>
<w:LsdException Locked="false" Priority="30" SemiHidden="false"
UnhideWhenUsed="false" QFormat="true" Name="Intense Quote"/>
<w:LsdException Locked="false" Priority="66" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium List 2 Accent 1"/>
<w:LsdException Locked="false" Priority="67" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium Grid 1 Accent 1"/>
<w:LsdException Locked="false" Priority="68" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium Grid 2 Accent 1"/>
<w:LsdException Locked="false" Priority="69" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium Grid 3 Accent 1"/>
<w:LsdException Locked="false" Priority="70" SemiHidden="false"
UnhideWhenUsed="false" Name="Dark List Accent 1"/>
<w:LsdException Locked="false" Priority="71" SemiHidden="false"
UnhideWhenUsed="false" Name="Colorful Shading Accent 1"/>
<w:LsdException Locked="false" Priority="72" SemiHidden="false"
UnhideWhenUsed="false" Name="Colorful List Accent 1"/>
<w:LsdException Locked="false" Priority="73" SemiHidden="false"
UnhideWhenUsed="false" Name="Colorful Grid Accent 1"/>
<w:LsdException Locked="false" Priority="60" SemiHidden="false"
UnhideWhenUsed="false" Name="Light Shading Accent 2"/>
<w:LsdException Locked="false" Priority="61" SemiHidden="false"
UnhideWhenUsed="false" Name="Light List Accent 2"/>
<w:LsdException Locked="false" Priority="62" SemiHidden="false"
UnhideWhenUsed="false" Name="Light Grid Accent 2"/>
<w:LsdException Locked="false" Priority="63" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium Shading 1 Accent 2"/>
<w:LsdException Locked="false" Priority="64" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium Shading 2 Accent 2"/>
<w:LsdException Locked="false" Priority="65" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium List 1 Accent 2"/>
<w:LsdException Locked="false" Priority="66" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium List 2 Accent 2"/>
<w:LsdException Locked="false" Priority="67" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium Grid 1 Accent 2"/>
<w:LsdException Locked="false" Priority="68" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium Grid 2 Accent 2"/>
<w:LsdException Locked="false" Priority="69" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium Grid 3 Accent 2"/>
<w:LsdException Locked="false" Priority="70" SemiHidden="false"
UnhideWhenUsed="false" Name="Dark List Accent 2"/>
<w:LsdException Locked="false" Priority="71" SemiHidden="false"
UnhideWhenUsed="false" Name="Colorful Shading Accent 2"/>
<w:LsdException Locked="false" Priority="72" SemiHidden="false"
UnhideWhenUsed="false" Name="Colorful List Accent 2"/>
<w:LsdException Locked="false" Priority="73" SemiHidden="false"
UnhideWhenUsed="false" Name="Colorful Grid Accent 2"/>
<w:LsdException Locked="false" Priority="60" SemiHidden="false"
UnhideWhenUsed="false" Name="Light Shading Accent 3"/>
<w:LsdException Locked="false" Priority="61" SemiHidden="false"
UnhideWhenUsed="false" Name="Light List Accent 3"/>
<w:LsdException Locked="false" Priority="62" SemiHidden="false"
UnhideWhenUsed="false" Name="Light Grid Accent 3"/>
<w:LsdException Locked="false" Priority="63" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium Shading 1 Accent 3"/>
<w:LsdException Locked="false" Priority="64" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium Shading 2 Accent 3"/>
<w:LsdException Locked="false" Priority="65" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium List 1 Accent 3"/>
<w:LsdException Locked="false" Priority="66" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium List 2 Accent 3"/>
<w:LsdException Locked="false" Priority="67" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium Grid 1 Accent 3"/>
<w:LsdException Locked="false" Priority="68" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium Grid 2 Accent 3"/>
<w:LsdException Locked="false" Priority="69" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium Grid 3 Accent 3"/>
<w:LsdException Locked="false" Priority="70" SemiHidden="false"
UnhideWhenUsed="false" Name="Dark List Accent 3"/>
<w:LsdException Locked="false" Priority="71" SemiHidden="false"
UnhideWhenUsed="false" Name="Colorful Shading Accent 3"/>
<w:LsdException Locked="false" Priority="72" SemiHidden="false"
UnhideWhenUsed="false" Name="Colorful List Accent 3"/>
<w:LsdException Locked="false" Priority="73" SemiHidden="false"
UnhideWhenUsed="false" Name="Colorful Grid Accent 3"/>
<w:LsdException Locked="false" Priority="60" SemiHidden="false"
UnhideWhenUsed="false" Name="Light Shading Accent 4"/>
<w:LsdException Locked="false" Priority="61" SemiHidden="false"
UnhideWhenUsed="false" Name="Light List Accent 4"/>
<w:LsdException Locked="false" Priority="62" SemiHidden="false"
UnhideWhenUsed="false" Name="Light Grid Accent 4"/>
<w:LsdException Locked="false" Priority="63" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium Shading 1 Accent 4"/>
<w:LsdException Locked="false" Priority="64" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium Shading 2 Accent 4"/>
<w:LsdException Locked="false" Priority="65" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium List 1 Accent 4"/>
<w:LsdException Locked="false" Priority="66" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium List 2 Accent 4"/>
<w:LsdException Locked="false" Priority="67" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium Grid 1 Accent 4"/>
<w:LsdException Locked="false" Priority="68" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium Grid 2 Accent 4"/>
<w:LsdException Locked="false" Priority="69" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium Grid 3 Accent 4"/>
<w:LsdException Locked="false" Priority="70" SemiHidden="false"
UnhideWhenUsed="false" Name="Dark List Accent 4"/>
<w:LsdException Locked="false" Priority="71" SemiHidden="false"
UnhideWhenUsed="false" Name="Colorful Shading Accent 4"/>
<w:LsdException Locked="false" Priority="72" SemiHidden="false"
UnhideWhenUsed="false" Name="Colorful List Accent 4"/>
<w:LsdException Locked="false" Priority="73" SemiHidden="false"
UnhideWhenUsed="false" Name="Colorful Grid Accent 4"/>
<w:LsdException Locked="false" Priority="60" SemiHidden="false"
UnhideWhenUsed="false" Name="Light Shading Accent 5"/>
<w:LsdException Locked="false" Priority="61" SemiHidden="false"
UnhideWhenUsed="false" Name="Light List Accent 5"/>
<w:LsdException Locked="false" Priority="62" SemiHidden="false"
UnhideWhenUsed="false" Name="Light Grid Accent 5"/>
<w:LsdException Locked="false" Priority="63" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium Shading 1 Accent 5"/>
<w:LsdException Locked="false" Priority="64" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium Shading 2 Accent 5"/>
<w:LsdException Locked="false" Priority="65" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium List 1 Accent 5"/>
<w:LsdException Locked="false" Priority="66" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium List 2 Accent 5"/>
<w:LsdException Locked="false" Priority="67" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium Grid 1 Accent 5"/>
<w:LsdException Locked="false" Priority="68" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium Grid 2 Accent 5"/>
<w:LsdException Locked="false" Priority="69" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium Grid 3 Accent 5"/>
<w:LsdException Locked="false" Priority="70" SemiHidden="false"
UnhideWhenUsed="false" Name="Dark List Accent 5"/>
<w:LsdException Locked="false" Priority="71" SemiHidden="false"
UnhideWhenUsed="false" Name="Colorful Shading Accent 5"/>
<w:LsdException Locked="false" Priority="72" SemiHidden="false"
UnhideWhenUsed="false" Name="Colorful List Accent 5"/>
<w:LsdException Locked="false" Priority="73" SemiHidden="false"
UnhideWhenUsed="false" Name="Colorful Grid Accent 5"/>
<w:LsdException Locked="false" Priority="60" SemiHidden="false"
UnhideWhenUsed="false" Name="Light Shading Accent 6"/>
<w:LsdException Locked="false" Priority="61" SemiHidden="false"
UnhideWhenUsed="false" Name="Light List Accent 6"/>
<w:LsdException Locked="false" Priority="62" SemiHidden="false"
UnhideWhenUsed="false" Name="Light Grid Accent 6"/>
<w:LsdException Locked="false" Priority="63" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium Shading 1 Accent 6"/>
<w:LsdException Locked="false" Priority="64" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium Shading 2 Accent 6"/>
<w:LsdException Locked="false" Priority="65" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium List 1 Accent 6"/>
<w:LsdException Locked="false" Priority="66" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium List 2 Accent 6"/>
<w:LsdException Locked="false" Priority="67" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium Grid 1 Accent 6"/>
<w:LsdException Locked="false" Priority="68" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium Grid 2 Accent 6"/>
<w:LsdException Locked="false" Priority="69" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium Grid 3 Accent 6"/>
<w:LsdException Locked="false" Priority="70" SemiHidden="false"
UnhideWhenUsed="false" Name="Dark List Accent 6"/>
<w:LsdException Locked="false" Priority="71" SemiHidden="false"
UnhideWhenUsed="false" Name="Colorful Shading Accent 6"/>
<w:LsdException Locked="false" Priority="72" SemiHidden="false"
UnhideWhenUsed="false" Name="Colorful List Accent 6"/>
<w:LsdException Locked="false" Priority="73" SemiHidden="false"
UnhideWhenUsed="false" Name="Colorful Grid Accent 6"/>
<w:LsdException Locked="false" Priority="19" SemiHidden="false"
UnhideWhenUsed="false" QFormat="true" Name="Subtle Emphasis"/>
<w:LsdException Locked="false" Priority="21" SemiHidden="false"
UnhideWhenUsed="false" QFormat="true" Name="Intense Emphasis"/>
<w:LsdException Locked="false" Priority="31" SemiHidden="false"
UnhideWhenUsed="false" QFormat="true" Name="Subtle Reference"/>
<w:LsdException Locked="false" Priority="32" SemiHidden="false"
UnhideWhenUsed="false" QFormat="true" Name="Intense Reference"/>
<w:LsdException Locked="false" Priority="33" SemiHidden="false"
UnhideWhenUsed="false" QFormat="true" Name="Book Title"/>
<w:LsdException Locked="false" Priority="37" Name="Bibliography"/>
<w:LsdException Locked="false" Priority="39" QFormat="true" Name="TOC Heading"/>
</w:LatentStyles>
</xml><![endif]--><!--[if gte mso 10]>
<style>
/* Style Definitions */
table.MsoNormalTable
{mso-style-name:"Table Normal";
mso-tstyle-rowband-size:0;
mso-tstyle-colband-size:0;
mso-style-noshow:yes;
mso-style-priority:99;
mso-style-qformat:yes;
mso-style-parent:"";
mso-padding-alt:0cm 5.4pt 0cm 5.4pt;
mso-para-margin-top:0cm;
mso-para-margin-right:0cm;
mso-para-margin-bottom:10.0pt;
mso-para-margin-left:0cm;
line-height:115%;
mso-pagination:widow-orphan;
font-size:11.0pt;
font-family:"Calibri","sans-serif";
mso-ascii-font-family:Calibri;
mso-ascii-theme-font:minor-latin;
mso-fareast-font-family:"Times New Roman";
mso-fareast-theme-font:minor-fareast;
mso-hansi-font-family:Calibri;
mso-hansi-theme-font:minor-latin;}
</style>
<![endif]-->
</span><br />
<div class="MsoNormal" style="line-height: normal; mso-margin-bottom-alt: auto; mso-margin-top-alt: auto; mso-outline-level: 1;">
<span style="font-size: large;"><b><span style="font-family: "Tahoma","sans-serif"; font-size: 14.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: EN-SG; mso-font-kerning: 18.0pt;">Smoking And Pregnancy</span></b></span></div>
<span style="font-size: large;">
<span style="font-family: "Tahoma","sans-serif"; mso-bidi-font-weight: bold;">Tobacco
smoking and pregnancy</span><span style="font-family: "Tahoma","sans-serif";"> is
related to many effects on health and reproduction, in addition to the general
health effects of tobacco. A number of studies have shown that tobacco use is a
significant factor in miscarriages among pregnant smokers, and that it
contributes to a number of other threats to the health of the fetus. </span><br />
<span style="font-family: "Tahoma","sans-serif";">Ideally, women should not
smoke before, during or after pregnancy. If this is not the case, however, the
daily number of cigarettes can be reduced to minimize the risks for both the
mother and child. This is particularly important for women in undeveloped
countries where breastfeeding is essential for the child’s overall nutritional
status.</span><br />
</span><br />
<span style="font-size: large;"><!--[if gte mso 9]><xml>
<w:WordDocument>
<w:View>Normal</w:View>
<w:Zoom>0</w:Zoom>
<w:TrackMoves/>
<w:TrackFormatting/>
<w:PunctuationKerning/>
<w:ValidateAgainstSchemas/>
<w:SaveIfXMLInvalid>false</w:SaveIfXMLInvalid>
<w:IgnoreMixedContent>false</w:IgnoreMixedContent>
<w:AlwaysShowPlaceholderText>false</w:AlwaysShowPlaceholderText>
<w:DoNotPromoteQF/>
<w:LidThemeOther>EN-SG</w:LidThemeOther>
<w:LidThemeAsian>X-NONE</w:LidThemeAsian>
<w:LidThemeComplexScript>X-NONE</w:LidThemeComplexScript>
<w:Compatibility>
<w:BreakWrappedTables/>
<w:SnapToGridInCell/>
<w:WrapTextWithPunct/>
<w:UseAsianBreakRules/>
<w:DontGrowAutofit/>
<w:SplitPgBreakAndParaMark/>
<w:DontVertAlignCellWithSp/>
<w:DontBreakConstrainedForcedTables/>
<w:DontVertAlignInTxbx/>
<w:Word11KerningPairs/>
<w:CachedColBalance/>
</w:Compatibility>
<m:mathPr>
<m:mathFont m:val="Cambria Math"/>
<m:brkBin m:val="before"/>
<m:brkBinSub m:val="--"/>
<m:smallFrac m:val="off"/>
<m:dispDef/>
<m:lMargin m:val="0"/>
<m:rMargin m:val="0"/>
<m:defJc m:val="centerGroup"/>
<m:wrapIndent m:val="1440"/>
<m:intLim m:val="subSup"/>
<m:naryLim m:val="undOvr"/>
</m:mathPr></w:WordDocument>
</xml><![endif]--></span><br />
<span style="font-size: large;"><!--[if gte mso 9]><xml>
<w:LatentStyles DefLockedState="false" DefUnhideWhenUsed="true"
DefSemiHidden="true" DefQFormat="false" DefPriority="99"
LatentStyleCount="267">
<w:LsdException Locked="false" Priority="0" SemiHidden="false"
UnhideWhenUsed="false" QFormat="true" Name="Normal"/>
<w:LsdException Locked="false" Priority="9" SemiHidden="false"
UnhideWhenUsed="false" QFormat="true" Name="heading 1"/>
<w:LsdException Locked="false" Priority="9" QFormat="true" Name="heading 2"/>
<w:LsdException Locked="false" Priority="9" QFormat="true" Name="heading 3"/>
<w:LsdException Locked="false" Priority="9" QFormat="true" Name="heading 4"/>
<w:LsdException Locked="false" Priority="9" QFormat="true" Name="heading 5"/>
<w:LsdException Locked="false" Priority="9" QFormat="true" Name="heading 6"/>
<w:LsdException Locked="false" Priority="9" QFormat="true" Name="heading 7"/>
<w:LsdException Locked="false" Priority="9" QFormat="true" Name="heading 8"/>
<w:LsdException Locked="false" Priority="9" QFormat="true" Name="heading 9"/>
<w:LsdException Locked="false" Priority="39" Name="toc 1"/>
<w:LsdException Locked="false" Priority="39" Name="toc 2"/>
<w:LsdException Locked="false" Priority="39" Name="toc 3"/>
<w:LsdException Locked="false" Priority="39" Name="toc 4"/>
<w:LsdException Locked="false" Priority="39" Name="toc 5"/>
<w:LsdException Locked="false" Priority="39" Name="toc 6"/>
<w:LsdException Locked="false" Priority="39" Name="toc 7"/>
<w:LsdException Locked="false" Priority="39" Name="toc 8"/>
<w:LsdException Locked="false" Priority="39" Name="toc 9"/>
<w:LsdException Locked="false" Priority="35" QFormat="true" Name="caption"/>
<w:LsdException Locked="false" Priority="10" SemiHidden="false"
UnhideWhenUsed="false" QFormat="true" Name="Title"/>
<w:LsdException Locked="false" Priority="1" Name="Default Paragraph Font"/>
<w:LsdException Locked="false" Priority="11" SemiHidden="false"
UnhideWhenUsed="false" QFormat="true" Name="Subtitle"/>
<w:LsdException Locked="false" Priority="0" Name="Hyperlink"/>
<w:LsdException Locked="false" Priority="22" SemiHidden="false"
UnhideWhenUsed="false" QFormat="true" Name="Strong"/>
<w:LsdException Locked="false" Priority="20" SemiHidden="false"
UnhideWhenUsed="false" QFormat="true" Name="Emphasis"/>
<w:LsdException Locked="false" Priority="59" SemiHidden="false"
UnhideWhenUsed="false" Name="Table Grid"/>
<w:LsdException Locked="false" UnhideWhenUsed="false" Name="Placeholder Text"/>
<w:LsdException Locked="false" Priority="1" SemiHidden="false"
UnhideWhenUsed="false" QFormat="true" Name="No Spacing"/>
<w:LsdException Locked="false" Priority="60" SemiHidden="false"
UnhideWhenUsed="false" Name="Light Shading"/>
<w:LsdException Locked="false" Priority="61" SemiHidden="false"
UnhideWhenUsed="false" Name="Light List"/>
<w:LsdException Locked="false" Priority="62" SemiHidden="false"
UnhideWhenUsed="false" Name="Light Grid"/>
<w:LsdException Locked="false" Priority="63" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium Shading 1"/>
<w:LsdException Locked="false" Priority="64" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium Shading 2"/>
<w:LsdException Locked="false" Priority="65" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium List 1"/>
<w:LsdException Locked="false" Priority="66" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium List 2"/>
<w:LsdException Locked="false" Priority="67" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium Grid 1"/>
<w:LsdException Locked="false" Priority="68" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium Grid 2"/>
<w:LsdException Locked="false" Priority="69" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium Grid 3"/>
<w:LsdException Locked="false" Priority="70" SemiHidden="false"
UnhideWhenUsed="false" Name="Dark List"/>
<w:LsdException Locked="false" Priority="71" SemiHidden="false"
UnhideWhenUsed="false" Name="Colorful Shading"/>
<w:LsdException Locked="false" Priority="72" SemiHidden="false"
UnhideWhenUsed="false" Name="Colorful List"/>
<w:LsdException Locked="false" Priority="73" SemiHidden="false"
UnhideWhenUsed="false" Name="Colorful Grid"/>
<w:LsdException Locked="false" Priority="60" SemiHidden="false"
UnhideWhenUsed="false" Name="Light Shading Accent 1"/>
<w:LsdException Locked="false" Priority="61" SemiHidden="false"
UnhideWhenUsed="false" Name="Light List Accent 1"/>
<w:LsdException Locked="false" Priority="62" SemiHidden="false"
UnhideWhenUsed="false" Name="Light Grid Accent 1"/>
<w:LsdException Locked="false" Priority="63" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium Shading 1 Accent 1"/>
<w:LsdException Locked="false" Priority="64" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium Shading 2 Accent 1"/>
<w:LsdException Locked="false" Priority="65" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium List 1 Accent 1"/>
<w:LsdException Locked="false" UnhideWhenUsed="false" Name="Revision"/>
<w:LsdException Locked="false" Priority="34" SemiHidden="false"
UnhideWhenUsed="false" QFormat="true" Name="List Paragraph"/>
<w:LsdException Locked="false" Priority="29" SemiHidden="false"
UnhideWhenUsed="false" QFormat="true" Name="Quote"/>
<w:LsdException Locked="false" Priority="30" SemiHidden="false"
UnhideWhenUsed="false" QFormat="true" Name="Intense Quote"/>
<w:LsdException Locked="false" Priority="66" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium List 2 Accent 1"/>
<w:LsdException Locked="false" Priority="67" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium Grid 1 Accent 1"/>
<w:LsdException Locked="false" Priority="68" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium Grid 2 Accent 1"/>
<w:LsdException Locked="false" Priority="69" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium Grid 3 Accent 1"/>
<w:LsdException Locked="false" Priority="70" SemiHidden="false"
UnhideWhenUsed="false" Name="Dark List Accent 1"/>
<w:LsdException Locked="false" Priority="71" SemiHidden="false"
UnhideWhenUsed="false" Name="Colorful Shading Accent 1"/>
<w:LsdException Locked="false" Priority="72" SemiHidden="false"
UnhideWhenUsed="false" Name="Colorful List Accent 1"/>
<w:LsdException Locked="false" Priority="73" SemiHidden="false"
UnhideWhenUsed="false" Name="Colorful Grid Accent 1"/>
<w:LsdException Locked="false" Priority="60" SemiHidden="false"
UnhideWhenUsed="false" Name="Light Shading Accent 2"/>
<w:LsdException Locked="false" Priority="61" SemiHidden="false"
UnhideWhenUsed="false" Name="Light List Accent 2"/>
<w:LsdException Locked="false" Priority="62" SemiHidden="false"
UnhideWhenUsed="false" Name="Light Grid Accent 2"/>
<w:LsdException Locked="false" Priority="63" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium Shading 1 Accent 2"/>
<w:LsdException Locked="false" Priority="64" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium Shading 2 Accent 2"/>
<w:LsdException Locked="false" Priority="65" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium List 1 Accent 2"/>
<w:LsdException Locked="false" Priority="66" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium List 2 Accent 2"/>
<w:LsdException Locked="false" Priority="67" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium Grid 1 Accent 2"/>
<w:LsdException Locked="false" Priority="68" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium Grid 2 Accent 2"/>
<w:LsdException Locked="false" Priority="69" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium Grid 3 Accent 2"/>
<w:LsdException Locked="false" Priority="70" SemiHidden="false"
UnhideWhenUsed="false" Name="Dark List Accent 2"/>
<w:LsdException Locked="false" Priority="71" SemiHidden="false"
UnhideWhenUsed="false" Name="Colorful Shading Accent 2"/>
<w:LsdException Locked="false" Priority="72" SemiHidden="false"
UnhideWhenUsed="false" Name="Colorful List Accent 2"/>
<w:LsdException Locked="false" Priority="73" SemiHidden="false"
UnhideWhenUsed="false" Name="Colorful Grid Accent 2"/>
<w:LsdException Locked="false" Priority="60" SemiHidden="false"
UnhideWhenUsed="false" Name="Light Shading Accent 3"/>
<w:LsdException Locked="false" Priority="61" SemiHidden="false"
UnhideWhenUsed="false" Name="Light List Accent 3"/>
<w:LsdException Locked="false" Priority="62" SemiHidden="false"
UnhideWhenUsed="false" Name="Light Grid Accent 3"/>
<w:LsdException Locked="false" Priority="63" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium Shading 1 Accent 3"/>
<w:LsdException Locked="false" Priority="64" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium Shading 2 Accent 3"/>
<w:LsdException Locked="false" Priority="65" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium List 1 Accent 3"/>
<w:LsdException Locked="false" Priority="66" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium List 2 Accent 3"/>
<w:LsdException Locked="false" Priority="67" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium Grid 1 Accent 3"/>
<w:LsdException Locked="false" Priority="68" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium Grid 2 Accent 3"/>
<w:LsdException Locked="false" Priority="69" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium Grid 3 Accent 3"/>
<w:LsdException Locked="false" Priority="70" SemiHidden="false"
UnhideWhenUsed="false" Name="Dark List Accent 3"/>
<w:LsdException Locked="false" Priority="71" SemiHidden="false"
UnhideWhenUsed="false" Name="Colorful Shading Accent 3"/>
<w:LsdException Locked="false" Priority="72" SemiHidden="false"
UnhideWhenUsed="false" Name="Colorful List Accent 3"/>
<w:LsdException Locked="false" Priority="73" SemiHidden="false"
UnhideWhenUsed="false" Name="Colorful Grid Accent 3"/>
<w:LsdException Locked="false" Priority="60" SemiHidden="false"
UnhideWhenUsed="false" Name="Light Shading Accent 4"/>
<w:LsdException Locked="false" Priority="61" SemiHidden="false"
UnhideWhenUsed="false" Name="Light List Accent 4"/>
<w:LsdException Locked="false" Priority="62" SemiHidden="false"
UnhideWhenUsed="false" Name="Light Grid Accent 4"/>
<w:LsdException Locked="false" Priority="63" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium Shading 1 Accent 4"/>
<w:LsdException Locked="false" Priority="64" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium Shading 2 Accent 4"/>
<w:LsdException Locked="false" Priority="65" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium List 1 Accent 4"/>
<w:LsdException Locked="false" Priority="66" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium List 2 Accent 4"/>
<w:LsdException Locked="false" Priority="67" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium Grid 1 Accent 4"/>
<w:LsdException Locked="false" Priority="68" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium Grid 2 Accent 4"/>
<w:LsdException Locked="false" Priority="69" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium Grid 3 Accent 4"/>
<w:LsdException Locked="false" Priority="70" SemiHidden="false"
UnhideWhenUsed="false" Name="Dark List Accent 4"/>
<w:LsdException Locked="false" Priority="71" SemiHidden="false"
UnhideWhenUsed="false" Name="Colorful Shading Accent 4"/>
<w:LsdException Locked="false" Priority="72" SemiHidden="false"
UnhideWhenUsed="false" Name="Colorful List Accent 4"/>
<w:LsdException Locked="false" Priority="73" SemiHidden="false"
UnhideWhenUsed="false" Name="Colorful Grid Accent 4"/>
<w:LsdException Locked="false" Priority="60" SemiHidden="false"
UnhideWhenUsed="false" Name="Light Shading Accent 5"/>
<w:LsdException Locked="false" Priority="61" SemiHidden="false"
UnhideWhenUsed="false" Name="Light List Accent 5"/>
<w:LsdException Locked="false" Priority="62" SemiHidden="false"
UnhideWhenUsed="false" Name="Light Grid Accent 5"/>
<w:LsdException Locked="false" Priority="63" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium Shading 1 Accent 5"/>
<w:LsdException Locked="false" Priority="64" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium Shading 2 Accent 5"/>
<w:LsdException Locked="false" Priority="65" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium List 1 Accent 5"/>
<w:LsdException Locked="false" Priority="66" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium List 2 Accent 5"/>
<w:LsdException Locked="false" Priority="67" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium Grid 1 Accent 5"/>
<w:LsdException Locked="false" Priority="68" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium Grid 2 Accent 5"/>
<w:LsdException Locked="false" Priority="69" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium Grid 3 Accent 5"/>
<w:LsdException Locked="false" Priority="70" SemiHidden="false"
UnhideWhenUsed="false" Name="Dark List Accent 5"/>
<w:LsdException Locked="false" Priority="71" SemiHidden="false"
UnhideWhenUsed="false" Name="Colorful Shading Accent 5"/>
<w:LsdException Locked="false" Priority="72" SemiHidden="false"
UnhideWhenUsed="false" Name="Colorful List Accent 5"/>
<w:LsdException Locked="false" Priority="73" SemiHidden="false"
UnhideWhenUsed="false" Name="Colorful Grid Accent 5"/>
<w:LsdException Locked="false" Priority="60" SemiHidden="false"
UnhideWhenUsed="false" Name="Light Shading Accent 6"/>
<w:LsdException Locked="false" Priority="61" SemiHidden="false"
UnhideWhenUsed="false" Name="Light List Accent 6"/>
<w:LsdException Locked="false" Priority="62" SemiHidden="false"
UnhideWhenUsed="false" Name="Light Grid Accent 6"/>
<w:LsdException Locked="false" Priority="63" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium Shading 1 Accent 6"/>
<w:LsdException Locked="false" Priority="64" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium Shading 2 Accent 6"/>
<w:LsdException Locked="false" Priority="65" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium List 1 Accent 6"/>
<w:LsdException Locked="false" Priority="66" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium List 2 Accent 6"/>
<w:LsdException Locked="false" Priority="67" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium Grid 1 Accent 6"/>
<w:LsdException Locked="false" Priority="68" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium Grid 2 Accent 6"/>
<w:LsdException Locked="false" Priority="69" SemiHidden="false"
UnhideWhenUsed="false" Name="Medium Grid 3 Accent 6"/>
<w:LsdException Locked="false" Priority="70" SemiHidden="false"
UnhideWhenUsed="false" Name="Dark List Accent 6"/>
<w:LsdException Locked="false" Priority="71" SemiHidden="false"
UnhideWhenUsed="false" Name="Colorful Shading Accent 6"/>
<w:LsdException Locked="false" Priority="72" SemiHidden="false"
UnhideWhenUsed="false" Name="Colorful List Accent 6"/>
<w:LsdException Locked="false" Priority="73" SemiHidden="false"
UnhideWhenUsed="false" Name="Colorful Grid Accent 6"/>
<w:LsdException Locked="false" Priority="19" SemiHidden="false"
UnhideWhenUsed="false" QFormat="true" Name="Subtle Emphasis"/>
<w:LsdException Locked="false" Priority="21" SemiHidden="false"
UnhideWhenUsed="false" QFormat="true" Name="Intense Emphasis"/>
<w:LsdException Locked="false" Priority="31" SemiHidden="false"
UnhideWhenUsed="false" QFormat="true" Name="Subtle Reference"/>
<w:LsdException Locked="false" Priority="32" SemiHidden="false"
UnhideWhenUsed="false" QFormat="true" Name="Intense Reference"/>
<w:LsdException Locked="false" Priority="33" SemiHidden="false"
UnhideWhenUsed="false" QFormat="true" Name="Book Title"/>
<w:LsdException Locked="false" Priority="37" Name="Bibliography"/>
<w:LsdException Locked="false" Priority="39" QFormat="true" Name="TOC Heading"/>
</w:LatentStyles>
</xml><![endif]--><!--[if gte mso 10]>
<style>
/* Style Definitions */
table.MsoNormalTable
{mso-style-name:"Table Normal";
mso-tstyle-rowband-size:0;
mso-tstyle-colband-size:0;
mso-style-noshow:yes;
mso-style-priority:99;
mso-style-qformat:yes;
mso-style-parent:"";
mso-padding-alt:0cm 5.4pt 0cm 5.4pt;
mso-para-margin-top:0cm;
mso-para-margin-right:0cm;
mso-para-margin-bottom:10.0pt;
mso-para-margin-left:0cm;
line-height:115%;
mso-pagination:widow-orphan;
font-size:11.0pt;
font-family:"Calibri","sans-serif";
mso-ascii-font-family:Calibri;
mso-ascii-theme-font:minor-latin;
mso-fareast-font-family:"Times New Roman";
mso-fareast-theme-font:minor-fareast;
mso-hansi-font-family:Calibri;
mso-hansi-theme-font:minor-latin;}
</style>
<![endif]-->
</span><br />
<h2>
<span style="font-size: large;"><span class="mw-headline"><span style="color: windowtext; font-family: "Tahoma","sans-serif";">Smoking Before Pregnancy:</span></span><span style="color: windowtext; font-family: "Tahoma","sans-serif";"></span></span></h2>
<span style="font-size: large;">
<span style="font-family: "Tahoma","sans-serif";">It is important to examine
these effects because smoking before, during and after pregnancy is not an
unusual behaviour among the general population and can have detrimental health
impacts, especially among both mother and child as a result. It is reported
that roughly 20% of pregnant women smoke at some point during the three months.</span><br />
</span><br />
<h2>
<span style="font-size: large;">
<span class="mw-headline"><span style="color: windowtext; font-family: "Tahoma","sans-serif"; font-size: 12.0pt; line-height: 115%;">Smoking during pregnancy:</span></span><span style="color: windowtext; font-family: "Tahoma","sans-serif"; font-size: 12.0pt; line-height: 115%;"></span></span></h2>
<span style="font-size: large;">
<span style="font-family: "Tahoma","sans-serif";">In the United States today,
approximately 10% of women smoke during pregnancy (March of Dimes. 2010.
Smoking During Pregnancy.) Of women who smoked during the last 3 months of
pregnancy, 52% reported smoking 5 or less cigarettes per day, 27% reported
smoking 6 to 10 cigarettes per day, and 21% reported smoking 11 or more
cigarettes per day. <br />
In the United States, women whose </span><span style="font-family: "Tahoma","sans-serif"; mso-fareast-font-family: "Times New Roman"; mso-fareast-theme-font: major-fareast;">pregnancies
were unintended</span><span style="font-family: "Tahoma","sans-serif";"> are 30%
more likely to smoke during pregnancy than those whose pregnancies were
intended. </span><br />
</span><br />
<span style="font-size: large;">Down load the free app to learn more.....</span><br />
<span style="font-size: large;">Cheers
</span>Unknownnoreply@blogger.com0tag:blogger.com,1999:blog-52477291242113628.post-75652957696757701542011-10-13T03:53:00.000-07:002011-10-13T03:53:00.135-07:00Kitchen organization: Control the clutter in your kitchen <P>Besides food safety, what does kitchen organization have to do with nutrition? An organized kitchen is a more inviting space. If you like being in your kitchen, you're more likely to use it! And eating at home usually means healthier meals. Just consider that the average person eats about 134 calories more a meal when eating out. </P><P>Ready to get your kitchen whipped into shape? Try these tips: </P><STRONG>De-clutter</STRONG>. Get rid of old or expired food items. Throw out or recycle kitchen utensils that are broken, never used or duplicates.<STRONG>Organize by function</STRONG>. Group like items together. For example, put breakfast items all on one shelf, and baking items on another.<STRONG>Set the stage</STRONG>. Put pots and pans near the stove, dishes near the sink or dishwasher, and herbs and spices near the food prep area. <STRONG>Go vertical</STRONG>. All out of cupboard, drawer or countertop space? Invest in hooks or other hardware to hang up your pots, pans, utensils and aprons.<STRONG>Beautify</STRONG>. Kitchen organization can be attractive as well as functional. Use ceramic bowls or decorative baskets to hold fruits and vegetables or napkins and dish towels.<P>Don't overwhelm yourself by taking on the whole kitchen. Give yourself 30 minutes and see what happens. That 30 minutes might inspire you to tackle another cupboard or even your freezer next. Rediscover the joys of being in the kitchen. Make a meal and savor it — and your space. </P><P>- Katherine </P>blog index Unknownnoreply@blogger.com0tag:blogger.com,1999:blog-52477291242113628.post-36332553085404820772011-10-13T00:59:00.000-07:002011-10-13T00:59:00.891-07:00Insulin pumps: Explore the pros and cons<P>Are you considering the use of an insulin pump? More and more people with type 1 diabetes and insulin-dependent type 2 diabetes are wearing insulin pumps. Insulin pumps deliver rapid-acting insulin 24 hours a day. </P><br /><P>Insulin pumps deliver insulin in three ways: </P><STRONG>Basal rate.</STRONG> The insulin pump delivers small hourly increments of rapid- or short-acting insulin over a 24-hour period. The basal rate replaces a long-acting insulin injection and accounts for approximately 50 percent of a person's total daily insulin requirement. <STRONG>Boluses.</STRONG> These insulin injections are required to cover carbohydrates eaten at meals.<STRONG>Correction.</STRONG> A correction is used to adjust the pre-meal insulin bolus for glucose values outside of the blood glucose target range. <br /><P><STRONG>Benefits of insulin pumps</STRONG> <BR>Insulin pumps can: </P>Improve blood glucose control by delivering individualized basal ratesEliminate inconvenience of multiple daily injectionsIncrease lifestyle conveniences — you have more flexibility about when and what you eatOffer precise dosage delivery in basal rates as low as 0.025 units per hour and bolus rates of 0.1 unit dosesAllow temporary basal rates Deliver a special meal bolus to match the delays in the absorption of certain foodsUsually result in fewer large swings in your blood glucose levelsReduce frequency of hypoglycemia<br /><P><STRONG>Disadvantages of insulin pumps</STRONG> <BR>On the flip side, an insulin pump: </P>Can malfunction, delivering too much or too little insulinIncreases risk of diabetes ketoacidosis — the pump uses only rapid-acting insulin, and if insulin delivery is disrupted for any reason, your blood glucose will rise rapidly putting you at risk of ketoacidosisMay be expensive — costing around $7000 for the pump itself, with supplies costing about $1500 a yearIs attached to you all day every dayWon't take care of all your blood glucose problems — you'll still need to test your blood sugar before meals and at bedtime, and the person using the insulin pump will continue to give a bolus before meals<br /><P>Most insulin pump users would agree that the advantages far outweigh the disadvantages. My two sons with diabetes both use insulin pumps and wouldn't have it any other way. If you're considering an insulin pump, you must currently be on a multiple daily insulin dose program, be experienced in carbohydrate counting, and test your blood sugar at least four times a day. A good <A href="http://www.natural-cure-for-yeast-infection.com/?hop=gdresource">candida</A>te for an insulin pump must also be able to understand and work with mechanical devices or computers. Please discuss with your diabetes care team if insulin pumps interest you. </P><br /><P>Peggy </P>Unknownnoreply@blogger.com0tag:blogger.com,1999:blog-52477291242113628.post-70969112309755844492011-10-12T14:59:00.000-07:002011-10-12T14:59:00.467-07:00Orthorexia &mdash; Healthy eating gone awry <P>Everyone can benefit by paying more attention to choosing healthy foods, right? </P><P>For the most part, yes. However, a small number of people seem to become obsessed with the "perfect diet." These individuals fixate on eating foods that make them feel pure and healthy — to the extent that they avoid foods with any: </P>Artificial colors, flavors or preservativesPesticides, genetic modificationUnhealthy fat, sugar or added salt<P>For some people with orthorexia: </P>Preparation techniques must result in "clean food," meaning it's been washed multiple times, cooked to ensure no bacteria and minimally handled.Eating out is out of the question because it's important to avoid food that they don't buy and prepare.<P>The term "orthorexia" has been used to describe this disorder. It comes from the Greek words "orthos," meaning straight or proper, and "orexia," meaning appetite. According to experts including Dr. Steven Bratman, the doctor who first described and named this disorder, what tips the balance from being committed to healthy eating and having orthorexia is the extreme limitation and obsession in food selection. Orthorexics find themselves being unable to take part in everyday activities. They isolate themselves and often become intolerant of other people's views about food and health. </P><P>Studies have looked to at whether this disorder is more common in groups more likely to have a keen interest in a healthy diet, such as medical residents, dietitians, students in nutrition, fitness club members and those in the performing arts (ballet, symphony orchestra and opera singers). Each of the professions studied showed some incidence. However, the studies were unable to determine if the incidence was higher than that in the general population. </P><P>Health professionals have proposed that orthorexia be officially recognized as a new mental disorder. Currently it remains controversial and grouped with other not yet accepted disorders such as night eating syndrome, muscle dysmorphia (obsession with muscle building) and emetophobia (constant fear of vomiting). </P><P>Whether it's recognized as a true medical problem or not is beside the point. It's important to seek professional help when striving for a healthy diet becomes an overwhelming drive that takes over. Orthorexia that features obsessive compulsive behaviors can be effectively treated with medication and cognitive behavioral therapy by a trained therapist. </P>blog index References Bartrina JA. Orthorexia or when a healthy diet becomes an obsession. ALAN. 2007;57(4):313.What is orthorexia? Journal of the American Dietetic Association. 2005;105(10):1510.Bosi ATB, Derya C, Guler C. Prevalence of orthorexia nervosa in resident medical doctors in the faculty of medicine. Appetite. 2007;49(3): 661.Kinzel JF, et al. Orthorexia nervosa in dietitians. Psychotherapy and Psychosomatics. 2006;76(6):395.Korinth A, et al. Eating behaviour and eating disorders in students of nutrition sciences. Public health Nutrition. 13(1): 32-37. 2009.Eriksson L, et al. Social physique anxiety and sociocultural attitudes toward appearance impact on orthorexia test in fitness participants. Scandinavian Journal of Medicine and Science in Sports. 2008;18(3):389.Aksoydan E, et al. Prevalence of orthorexia nervosa among Turkish performance artists. Eating and Weight disorders-Studies on Anorexia, Bulimia and Obesity. 2009;14(1):33.Vandereycken W. Media hype, diagnostic fad or genuine disorder? Professionals' opinions about night eating syndrome, orthorexia, muscle dysmorphia, and emetophobia. Eating Disorders. 2011;19(2):145.Unknownnoreply@blogger.com0tag:blogger.com,1999:blog-52477291242113628.post-65528944170768647872011-10-12T14:27:00.000-07:002011-10-12T14:27:00.362-07:00Traveling with diabetes &mdash; plan ahead <P>Summer has arrived for many of us, and summer makes me think of travel and camping trips. Traveling with diabetes requires a little advance planning. Preparation depends on where you're going and what you're doing. The American Diabetes Association (ADA) provides some good travel trips that I'd like to share: </P><P><STRONG>See your doctor before leaving</STRONG> </P><STRONG>Ensure good blood sugar control.</STRONG> If your blood sugars aren't well controlled, allow enough time before your trip to improve control before you leave. I'd also recommend seeing a certified diabetes educator, if possible, for help.<STRONG>Get a letter and prescription from your doctor.</STRONG> Ask for a letter and a prescription with a list of your medications for diabetes pills or insulin shots. The prescription will cover you if you run out or lose your insulin or medications while away. However, in the United States, prescription laws may vary from state to state. When my son forgot his insulin, we went to a pharmacy from the same chain that he usually gets his prescriptions from and he was able to get a vial of insulin. Prescription laws may be different if you're traveling abroad. The ADA recommends that you write for a list of International Diabetes Federation groups — see www.idf.org.<P><STRONG>Prepare for an emergency abroad</STRONG> </P><STRONG>Know how to find a doctor.</STRONG> You can get a list of English-speaking foreign doctors from the International Association for Medical Assistance to Travelers — see www.iamat.org, or call 716-754-4883. If you have an emergency while traveling and you don't have a list with you, you can contact the American Consulate, American Express, or local medical schools for a list of doctors.<STRONG>Wear a medical I.D. bracelet or necklace.</STRONG> It's important to wear identification that states that you have diabetes. It could also be helpful to know how to say "I have diabetes" and "Sugar or orange juice please" in the language of the country you'll be visiting.<P><STRONG>Pack extras</STRONG> </P><STRONG>Pack extra medication and insulin.</STRONG> Aim for at least twice as much as you think you'll need. Keep your medication and insulin with you in a carry-on bag, because checked luggage can be lost.<STRONG>Keep snacks available.</STRONG> Bring well-wrapped, air-tight snacks such as crackers, cheese, peanut butter, fruit, and some form of sugar, such as hard candy or glucose tablets, to treat low blood glucose.<STRONG>Protect supplies from heat.</STRONG> Insulin stored in very hot or very cold temperatures may lose strength. So, don't leave your insulin in the car. Meters and supplies are also sensitive to extreme temperatures. If you're camping or backpacking, consider storing insulin or meter supplies in a cooling pack made specifically for diabetes supplies.<P><STRONG>Understand potential insulin issues</STRONG> </P><STRONG>Try to use the same insulin.</STRONG> Stick with the exact brand and formulation of insulin as prescribed by your provider. But if you run out while you're on the road and you're unable to fill your prescription for some reason, you can buy NPH or regular insulin over the counter in the United States. Contact a physician for equivalent doses. You can discuss this with your physician before leaving for your trip.<STRONG>Be aware of differences abroad.</STRONG> In the United States, insulin is usually sold as U-100 (100 units of insulin per mL). Outside the United States, insulin may come as U-40 (40 units of insulin per mL) or U-80 (80 units of insulin per mL). If you need to use these types of insulin, you must buy new syringes to match the new insulin. When my son had emergency surgery for an appendectomy in Ukraine, he was allowed to use his own insulin. <STRONG>Adjust for time zone changes.</STRONG> If you're crossing several time zones, talk to your doctor or a certified diabetes educator to help you plan the timing of your injections. Bring along your flight schedule and information about the time zone changes. Note that if you need to inject insulin during a flight, be careful not to inject air into the insulin bottle. In the pressurized cabin, pressure differences can cause the plunger to "fight you."<P><STRONG>Take care once you're there</STRONG> </P><STRONG>Monitor your blood glucose more often.</STRONG> Jet lag may make it hard to tell if you have high or low blood sugar.<STRONG>Carry hypoglycemia treatment.</STRONG> If you're more active than usual, your glucose may go too low. Carry along snacks if there's a possibility that meals will be delayed or missed.<STRONG>Be careful about what you eat.</STRONG> Avoid tap water overseas, and ask for a list of ingredients in unfamiliar foods.<STRONG>Protect your feet.</STRONG> Wear comfortable shoes, and check your feet daily for blisters, cuts, redness, swelling and scratches. I talked to a man who'd hiked in the Arizona desert for several hours; when he got home, he saw blood on his socks. A cactus needle had pierced through his shoe and wedged a quarter-inch into his foot! Because he had peripheral neuropathy, he hadn't felt it.<P>Lastly, it can be helpful to prepare for airport security if you're flying to your destination. Check the ADA's webpage on air travel and diabetes for more information about how security measures may affect you — www.diabetes.org. </P><P>Happy travels! </P><P>Peggy </P>blog index Unknownnoreply@blogger.com0tag:blogger.com,1999:blog-52477291242113628.post-10117558198303466362011-10-11T23:11:00.000-07:002011-10-11T23:11:00.639-07:00Pack lunches with a healthy punch <P>A new school year means new challenges, but packing your children's lunch boxes needn't be one of them. Use these tips to create healthy, kid-friendly lunches. </P><P>Be smart about food safety. Stave off food-borne illness with a few common sense precautions: </P><STRONG>Start with a warm up.</STRONG> If you plan to pack soup or other hot entrees, use preheated insulated containers. To preheat, just fill with boiling water and let stand a few minutes before adding the hot food. <STRONG>Get the Chills.</STRONG> Surround your perishables with chilled items. Sandwich them between cold packs. Freeze bread, water bottles, 100% juice, or yogurt tubes to keep the inside of your lunch container cold until lunch time.<STRONG>Made in the shade</STRONG>. Encourage your children to store their lunch boxes away from direct sun and any heating or cooling sources.<STRONG>No worries</STRONG>. Pack items that aren't temperature sensitive to avoid the worry of unsafe bacterial growth. Pack small packets/cans of meat or fish and whole grain crackers for make it yourself mini sandwiches at the lunch table. Peanut butter, bread, bagels, and wraps, fruits, and veggies are all safe bets too.<P>To create nutrient-packed lunches, remember to cover the basics: </P><STRONG>Grains</STRONG>. Make whole-grain bread, mini bagels, pita or tortillas the basis of healthy sandwiches. Pack in a container that keeps them from being squished or crumbled and fresh tasting.<STRONG>Fruits and vegetables</STRONG>. Make fruits and veggies easy to munch by cutting them into bite-sized pieces. Choose fresh, dried or canned. Send along a small container of yogurt for dipping. Again, pay attention to packing to protect food from unappetizing bruises. <STRONG>Protein</STRONG>. The standard PBJ is a great choice. If food allergies nix peanut butter, explore other protein-rich spreads for sandwiches. In addition to lean lunch meat, fish, beans, nuts, cheese and tofu are great protein sources for growing children.<STRONG>Calcium</STRONG>. Send milk in a thermos or let your child purchase milk at school. If you child isn't a milk drinker, pack yogurt, cheese or fortified juices — all good sources of calcium.<P>If sandwiches are losing their appeal, try a twist to deliver the same great nutrition: </P><STRONG>Shape up.</STRONG> Cut sandwiches into fun shapes using cookie cutter to add pizzazz.<STRONG>Switch it up.</STRONG> Instead of bread, sandwich your protein, veggies or fruit between crackers, rice cakes, bagels, pita pockets or tortillas. <STRONG>Put in the subs.</STRONG> Try packing whole grain pasta or rice with sliced veggies and olives; peanut butter dip for fruit; dry cereal mixed with dried fruit and nuts, or yogurt with fruit and granola. Cube leftover chicken and pair it with grapes or bell pepper chunks on a toothpick for a tower of fun.<STRONG>Containers and more.</STRONG> Kids begging for those pre-packed lunches they see ads on TV? Do it yourself with fun multi pocket containers — sliced cheese, pita pocket squares, cut up fruit or veggies. Got an eco conscious kiddo? Pack items in reusable sandwich bags in fun, fashionable prints for girls and guys.<P>Brighten your child's day by writing a note and stashing it the lunch box. Or go all out and use a small amount of food coloring to "stamp" your child's sandwich with a secret code or symbol. </P><P>I've got you started. Now I'm going to call on you. What do you do to ensure that lunch boxes come home empty — and not because the healthy food you packed got thrown away? </P><P>Here's to a great school year, </P><P>Katherine </P>blog index References Keeping bag lunches safe. U.S. Department of Agriculture. http://www.fsis.usda.gov/PDF/Keeping_Bag_Lunches_Safe.pdf. Accessed 8/31/2011 Unknownnoreply@blogger.com0tag:blogger.com,1999:blog-52477291242113628.post-84167240008706775852011-10-11T20:46:00.000-07:002011-10-11T20:46:00.110-07:00Diabetes diagnosis: First reactions <P>Throughout my years as a diabetes educator, I've seen many people faced with the shock of a new diabetes diagnosis. There's the diabetes diagnosis itself, and then being thrown immediately into the required management of the disease. Everyone processes and reacts to this information differently. Unfortunately, the disease generally doesn't allow much time to ease into its management — scheduling and giving medications and injections, counting carbohydrates, storing insulin, understanding hypoglycemia and its treatment, using blood glucose meters, foot care, exercise and much more. </P><P>People's response to a new diabetes diagnosis varies. It's natural to respond with shock and stress. You might feel dazed or agitated, have poor concentration or a narrowing of attention, have difficulty comprehending information, anxiety, panic, a rapid heart beat, sweating, and shakiness and flushing. Some statements I've heard include: </P>Honestly? I wasn't expecting it, I don't eat sugar.No one in my family has diabetes.I ate a bunch of candy yesterday. That's why my sugar is high.Test my blood sugar again, I don't think it's right.I can never eat cake again.I'm not overweight. How did I get this?<P>People are frequently told they have diabetes, then rushed into a quick education session to learn how to test blood glucose, take the medications and insulin required, modify their diet and treat low blood sugar. These quick educations sessions aren't ideal. They may happen because of lack of time, at a patient's or physician's request, or because a person doesn't have insurance. I've looked at a person sitting there in shock and wondered how much of the information he or she really absorbed. This isn't my preferred method of education, but people amaze me sometimes at how well they adapt to it. </P><P>Studies show that after three days, adults only remember 10 percent of what they read, 20 percent of what they hear, and 30 percent of what they see. However, when adults are actively involved in learning new material, they'll remember up to 90 percent of what they say and do. So, the more active a role you can play in your diabetes education, the better. </P><P>What was your reaction to first being told "You have diabetes?" </P><P>Have a good week, </P><P>Nancy </P>blog index Unknownnoreply@blogger.com0tag:blogger.com,1999:blog-52477291242113628.post-83971381988335948472011-10-11T07:51:00.000-07:002011-10-11T07:51:00.228-07:00Weight gain: Inevitable as you age? <P>Is weight gain with age inevitable? It can seem that way when your weight climbs despite dieting and even exercising. Indeed, a recent study suggests that a range of lifestyle choices — not just the number of calories in your diet — influence your weight as you age. </P><P>The study included more than 100,000 men and women who were in good health and not obese. Their weight, diet and lifestyle habits were tracked for up to 20 years. The pounds seemed to creep on, with an average weight gain of slightly less than 2 pounds every 4 years. </P><P>What surprised researchers was that specific foods were independently associated with more weight gain: </P>Potato chipsPotatoes Unprocessed red meatsProcessed meats<P>On the other hand, eating more of some foods — vegetables, nuts, fruits and whole grains — was associated with less weight gain. </P><P>Liquid calories were another culprit. Alcoholic beverages and fruit juices were associated with a small but gradual increase in weight. Sugar-sweetened beverages were a major contributor to weight gain. </P><P>Lifestyle factors also influenced weight gain. Not surprisingly, physical activity was important to weight control. So was limiting TV time. Sleep also factored in. Weight gain was lowest among people who slept 6 to 8 hours a night and was higher among those who slept less than 6 hours or more than 8 hours. </P><P>Do any of these findings surprise you? Motivate you to change your habits? If so, how? </P><P>To your health, </P><P>Katherine </P>blog index References Mozaffarian D, et al. Changes in diet and lifestyle and long term weight gain in women and men. N Engl J Med. 2011;364:2392.Unknownnoreply@blogger.com0tag:blogger.com,1999:blog-52477291242113628.post-86586809636333151112011-10-11T05:31:00.000-07:002011-10-11T05:31:00.440-07:00Dr. Bernstein diet and beyond<P>I'd like to respond to some of the feedback we've been receiving about the topic of carbohydrates and their place in your diet. I'm not a dietitian, so I've consulted with Jennifer Nelson, M.S., R.D., a Mayo Clinic dietitian, who says, "The American Diabetes Association generally recommends that around 50 percent of the calories in your diet come from carbohydrates — preferably healthy carbohydrates such as vegetables, whole grains and fresh fruit. Lean proteins or fat-free dairy and healthy fats should make up the rest of the calories." </P><br /><P>The Dr. Bernstein diet, which has been mentioned in some comments, is low-carbohydrate and calorie restrictive. In some cases, it proposes limiting calories to 800 to 1350 a day. The program also includes behavior modification, education and vitamins and mineral supplements. People with diabetes who follow the Dr. Bernstein diet are required to do intensive management of their diabetes, including blood glucose testing five to eight times a day. The main function of Dr. Bernstein's diet for those who have diabetes is to maintain constant, near-normal blood glucose levels — desirable for anyone with diabetes. Good glucose control can reduce or prevent the chronic complications of diabetes such as nerve damage, kidney damage, eye disease and heart disease risks. </P><br /><P>When carbohydrates are reduced, you must make up the difference in fat and proteins. Consuming total daily calories at an amount needed to maintain a healthy weight is key and, over the long run, is probably more important than diet composition. </P><br /><P>Can good glucose control be achieved on a traditional diet? It most certainly can. Good glucose control involves paying close attention to the balancing act of healthy eating, insulin use (and diabetes medications, if required), exercise and blood glucose monitoring. </P><br /><P>Good diabetes management takes self-direction and work, no matter how it's achieved. </P><br /><P>According to Jennifer Nelson, M.S., R.D., "The bottom line is to find a healthy eating plan that works for you lifelong." </P><br /><P>Thanks, Jennifer. And, I hope you all have a good week. </P><br /><P>Regards, <BR>Nancy </P>Unknownnoreply@blogger.com0tag:blogger.com,1999:blog-52477291242113628.post-40500010216405978272011-10-10T15:53:00.000-07:002011-10-10T15:53:00.850-07:00Living with diabetes: Beware summer extremes with insulin <P>With summer arriving in Minnesota and many other places, I'd like to talk about how to manage insulin storage in extreme temperatures such as this season brings. </P><P>A number of years ago, I met with a client who used a rapid insulin pen for meal dosing. She shared with me a story of how she attended the county fair on an exceptionally hot day, and had placed her insulin pen in the back pocket of tight jeans and walked around the fairgrounds all day. She used the pen for covering meals eaten at the fair, and her blood sugars were running higher than normal, but she related this to all the junk food. The next day her blood sugars continued to run high and when she took her (rapid) insulin, it didn't seem to affect her blood sugar level at all; in fact, it was like she was taking water instead of insulin. She wondered if the heat had affected her insulin, so she switched to a new insulin (disposable) pen, and soon after her blood sugars started to drop. </P><P>Has this or something similar happened to you? </P><P>I looked at insulin manufacturers' websites and found that for the majority of all types and brands of insulin, the maximum temperatures recommended are as follows: </P>Opened room temperature insulin should not exceed 86 F (30 C) with the exception of Lantus, which should not exceed 77 F (25 C). Most manufacturers of insulin recommend discarding insulin if it exceeds 98.6 F (37 C). <P>Other non insulin diabetic injectable medications: </P>Glucagon and Byetta should not exceed 77 F (25 C).Symlin should not exceed 86 F (30 C).<P><STRONG>Avoiding potential problems</STRONG> </P><STRONG>Temperatures exceeding manufacturer's recommendations for insulin/medications</STRONG> <P>Store your insulin in the refrigerator, in an insulated case or cooler with a freezable gel pack, or use a cooling wallet. Cooling wallets are available through many diabetes supply companies and keep insulin vials, pens and pumps cool at a safe temperature without the need for refrigeration or ice. The wallets have a liner filled with crystals. The liner is immersed in cold water for 10-15 minutes, and placed back into the wallet, along with the insulin. It works by relying on the process of evaporation for cooling, can keep insulin cool for up to 48 hours, and is reusable. </P><P>Remember, after opening a vial of insulin or starting a new insulin pen, the insulin loses its potency and should be thrown away after a certain number of days, depending on the manufacturer's guidelines. Generally, most vials of insulin are good for 28 days after opening with the exception of Levemir (detemir), which is good for 42 days. Other pens are good for 10, 14, 28 or 42 days. Check the medication insert. </P><STRONG>Avoid temperature extremes</STRONG><BR>Never freeze insulin or expose it to extremely hot temperatures or direct sunlight. Never leave it in your car. Never place it directly on ice or an ice pack. <STRONG>Watch for changes in insulin appearance</STRONG><BR>Throw away insulin that is discolored or contains solid particles. <P><STRONG>What about insulin pumps?</STRONG> <BR>Heat can make proteins like insulin harden, which increases the potential for infusion set occlusions (blockage). If you live in a hot climate and especially if you work outdoors, you may need to pay closer attention to how the heat can affect your insulin. A patient of mine, who is a roofer in Arizona, found that he needed to replace the insulin in his pump reservoir daily to avoid having high blood glucose readings. Using a pump wallet could be another option for people concerned about the effects of heat on their insulin. Also, make sure that the infusion set tubing is tucked in your clothing and not hanging out and exposed to the light and or heat. </P><P>Please share your stories. </P><P>Have a great week, </P><P>Nancy </P>blog index Unknownnoreply@blogger.com0tag:blogger.com,1999:blog-52477291242113628.post-55321824777539035492011-10-10T14:45:00.000-07:002011-10-10T14:45:00.235-07:00What your scale won't tell you <P>As surprising as it may sound, a normal weight or normal body mass index (BMI) isn't a guarantee of good health. </P><P>Someone who has a BMI in the acceptable range may still have an unacceptably high percentage of body fat. This is called normal weight obesity. Too much fat tissue puts you at risk of cardiovascular disease and metabolic syndrome, associated with type 2 diabetes, among other chronic diseases. </P><P>You may be thinking, "Oh great, one more thing to worry about." But look at this way: If you're working at maintaining or losing weight, you're already on the right track. A healthy diet and exercise are exactly what you need to do to control not only your weight but also your body fat percentage. </P><P>If you aren't eating a balanced diet or getting any exercise, you may want to talk with your doctor about adopting a healthier lifestyle. Your scale may not suggest it, but your heart will thank you. </P><P>To your health, </P><P>Katherine </P>blog index Unknownnoreply@blogger.com0tag:blogger.com,1999:blog-52477291242113628.post-47314978679762879272011-10-09T20:36:00.000-07:002011-10-09T20:36:00.216-07:00What can be done to improve America's health? <P>Although America provides some of the world's best health care and spent over $2.5 trillion for health in 2009, it still ranks below many countries in life expectancy, infant mortality and other key health indicators. For this reason, the U.S. Surgeon General and multiple federal agencies came together to create the National Prevention and Health Promotion Strategy, which was released in June of this year. The strategy calls on leaders in state and local communities, businesses, nonprofit groups and individuals to commit to healthy initiatives. </P><P>It's no surprise that healthy eating is one of the priority initiatives. We know that eating healthy can reduce risk of the most common, deadly medical problems including heart disease, high blood pressure, diabetes, osteoporosis and several types of cancer — many related to obesity. Eating healthy requires more than providing people with information — it needs to be supported by an infrastructure that makes healthy foods available, affordable and safe. </P><P>In keeping with the current economic atmosphere, the strategy includes no new funding and very few mandates. Here are examples of how it's supposed to work. </P><P>The federal government will: </P>Ensure that foods in federal programs (like school lunches) meet the standards set in the 2010 Dietary Guidelines for Americans.Improve agricultural and food safety policies to align with the dietary guidelines.Develop voluntary guidelines for foods marketed to children (for example in TV commercials), monitor and report on industry activities.<P>State and local governments will: </P>Use grants and zoning to attract full-service grocery stores and farmers markets to underserved areas, aka "food deserts."Discourage businesses that serve unhealthy foods around schools.<P>Schools, businesses and employers will: </P>Make healthy options and appropriate portion sizes the norm.Reduce sodium, saturated fats and added sugars in the foods served.Eliminate high-calorie, low-nutrition drinks and provide greater access to water.<P>Health care systems, insurers and health care providers will: </P>Assess dietary patterns (quality and quantity of food eaten) and provide appropriate care for obesity.<P>Communities and individuals will: </P>Lead and expand programs such as community gardens that bring healthy, locally grown foods to schools and businesses.Eat less by avoiding oversized portions.Exercise more.<P>What changes are you seeing happen that support healthy eating — in your community? In your health system? At work or in your schools? In your local and state governments? What are you doing? </P><P>To your health, </P><P>Jennifer </P>blog index References The National Prevention Strategy: America's Plan for Better Health and Wellness. http://www.healthcare.gov/center/councils/nphpphc/strategy/report.pdf. Accessed July 25, 2011.Unknownnoreply@blogger.com0tag:blogger.com,1999:blog-52477291242113628.post-44978868832021068882011-10-09T20:23:00.000-07:002011-10-09T20:23:00.642-07:00Avoiding hypoglycemia unawareness<P>Hi fellow bloggers, </P><br /><P>Last week I shared with you a patient story about "hypoglycemia unawareness" — a condition in which a person with diabetes doesn't experience the usual warning symptoms of hypoglycemia. This week I'd like to share some risk factors and possible treatment strategies for such hypoglycemia unawareness. </P><br /><P><STRONG>Long-standing type 1 diabetes.</STRONG> Reduced awareness of hypoglycemia is common among people who have long-standing insulin-dependent diabetes. Many of those who've had diagnosed diabetes for 15 to 20 years report having lost their ability to perceive low blood glucoses and to often failing to treat and prevent severe hypoglycemia. </P><br /><P>Severe hypoglycemia is an episode in which the person with diabetes is unable to treat him or herself and needs the assistance of another person. This includes prompting by a relative or friend to drink juice or eat. </P><br /><P><STRONG>Being an older adult and having type 2 diabetes.</STRONG> There also have been an increasing number of hypoglycemia unawareness episodes in those with type 2 diabetes; adults older than 65 seem to be most at risk. </P><br /><P><STRONG>Strict avoidance of hypoglycemia.</STRONG> Strict avoidance of hypoglycemia for several weeks to months can restore at least partial awareness of warning symptoms. Strategies for avoiding hypoglycemia when you have hypoglycemia unawareness or don't experience the warning symptoms include: </P>Aim for a higher blood glucose targetTry to more accurately count carbohydratesAvoid overcorrection or stacking of insulin dosesTest your blood glucose and adjust your insulin dose more frequentlyConsider blood glucose awareness training education programs to help you learn to identify new symptoms and improve recognitionConsider a personal continuous glucose monitor (CGM) that sounds an alarm when your glucose gets too lowConsider a service dog that can recognize low blood glucose<br /><P><STRONG>Glucagon for emergencies.</STRONG> Glucagon is the treatment of choice if someone with diabetes is unconscious or unable to swallow. The length of time a person is unconscious, is more of a concern than how low the blood glucose number is. </P><br /><P>Ask your health care provider for a prescription for Glucagon or GlucaGen and for instructions on how to use it. Instruct your family members or friends on how to use this in an emergency and on how to access the emergency response team, such as calling "911." </P><br /><P>Have you lost any awareness of symptoms of low blood glucose? How have you coped? </P><br /><P>Regards, and have a good week. </P><br /><P>Nancy </P>Unknownnoreply@blogger.com0tag:blogger.com,1999:blog-52477291242113628.post-57035896349356168912011-10-09T10:28:00.000-07:002011-10-09T10:28:00.663-07:00What's OK to eat after gallbladder removal? <P>I just got a phone call from a retired Mayo Clinic doctor asking why we don't have a gallbladder removal diet. He went on to explain that he'd had a very uncomfortable and embarrassing incident after eating a large meal that contained lots of fat. My response was that there isn't a set diet people should follow after gallbladder removal because the guidelines depend on the individual. </P><P>It's helpful to know a little background: The gallbladder collects bile, a fluid that is produced by the liver, and releases it when you eat to aid the breakdown and absorption of fat. Between meals, bile collects in the gallbladder and is concentrated. When the gallbladder is removed, bile is less concentrated and it drains continuously into the intestine. This affects digestion of fat and fat-soluble vitamins. How much of a problem it is varies from person to person. With time, the body often adjusts and becomes better at digesting fatty foods. </P><P>The amount of fat eaten at one time also factors into the equation. Smaller amounts of fat are easier to digest. On the other hand, large amounts can remain undigested and cause gas, bloating and diarrhea. </P><P>Although I don't have a specific gallbladder removal diet to recommend, I can offer general advice for avoiding problems after you've had your gallbladder removed: </P>Eat smaller, more frequent meals. This may ensure a better mix with available bile. Include small amounts of lean protein, such as poultry, fish and nonfat dairy, at every meal, along with vegetables, fruit and whole grains.Go easy on fat. Avoid high-fat foods, fried and greasy foods, and fatty sauces and gravies. Instead, choose nonfat or low-fat foods. Read labels and look for foods with 3 grams of fat or less a serving.Gradually increase the fiber in your diet. This can help normalize bowel movements by reducing incidents of diarrhea or constipation. However, it can also make gas and cramping worse. The best approach is to slowly increase the amount of fiber in your diet over a period of weeks.Be aware that after gallbladder surgery some people find that the following are difficult to digest: caffeinated beverages and dairy products.<P>Talk with your doctor if your symptoms are severe, don't diminish, continue over time or if you lose weight and become weak. </P><P>I'd like to hear from anyone who has had gallbladder surgery — do you have problems — or are you able to eat almost everything? Any advice you can share? </P><P>- Jennifer </P>blog index References Barrett K. Gastrointestinal Physiology. http://www.accessmedicine.com/content.aspx?aID=2306279&searchStr=gallbladder#2306279. Accessed July 6, 2011.Nutrition Care Manual: Gallbladder disease process and meal plan. American Dietetic Association. http://nutritioncaremanual.org/content.cfm?ncm_content_id=81517 Accessed July 6, 2011.Fisher M, et al. Diarrhoea after laparoscopic cholecystectomy: Incidence and main determinants. ANZ Journal of Surgery. 2008;78: 482.Surawicz CM. Mechanisms of diarrhea. Current Gastroenterology Reports. 2010;12: 236.Unknownnoreply@blogger.com0tag:blogger.com,1999:blog-52477291242113628.post-42356580437727293672011-10-09T09:50:00.000-07:002011-10-09T09:50:00.231-07:00Managing diabetes: How to make changes <P>I think change gets harder with age. I cringe inside when I find out I'm going to have to change the way I've been doing something at work and learn a new way, for example. It seems the only thing we can be certain about with change is that it will happen again. Health care behaviors seem to be some of the hardest changes to make. </P><P>A number of theories about human behavior and change exist. One such theory, by Kurt Lewin and Edgar Schein, proposes that change is a three-stage process — unfreezing a behavior, changing, and then refreezing the new behavior. </P><P><STRONG>Getting motivated: Unfreezing</STRONG> <BR>The first stage — the unfreezing stage — is becoming motivated to change. How do we become motivated to change? A new diagnosis of diabetes, a poor A1C report from the medical care provider, nudges from a family member or self-evaluation all might motivate change. At this stage, the change process becomes a mental game of mind over matter. We realize the current situation isn't working and that ignoring the condition won't make things better. Real and unreal anxieties can slow down and impede the process of change. You might question if you can change, how to start or if it will make a difference. </P><P><STRONG>Making changes</STRONG> <BR>The change stage follows making the decision that a change needs to occur. Next, we must decide what needs to change. Activities that help us change are beneficial in the change stage. These activities might include: </P>Choosing a specific behavior you want to work on changing Being realistic — avoid trying to change everything at onceWriting down the change and posting it in plain sight to give yourself a daily reminderDiscussing the change with others around you and asking for their support and encouragementFinding a support groupSeeing your diabetes health care team regularlyChanging your environment to support your change, such as getting snacks out of the home<P><STRONG>Making it permanent: Refreezing</STRONG> <BR>The refreezing stage — making the change permanent — is probably the hardest stage. This final stage is when the change becomes habitual and includes developing a new self-concept. You become a person identifying and living for wellness. </P><P>Your thoughts? </P><P>Have a great week! <BR>Nancy </P>blog index Unknownnoreply@blogger.com0tag:blogger.com,1999:blog-52477291242113628.post-87829046120985535222011-10-08T16:43:00.000-07:002011-10-08T16:43:00.559-07:00New antidepressant offers hope <P>For those of you with depression who've been struggling to find the right antidepressant medication, the introduction of a new antidepressant is always a hopeful event. Recently, the antidepressant vilazodone became available to U.S. patients. The trade name of this new medication is Viibryd. </P>National Suicide Prevention Lifeline<BR>1-800-273-TALK (8255) Go to the nearest hospital or emergency roomCall your physician, health provider or clergyNational Alliance on Mental Illness<BR>www.nami.org<BR>1-800-950-NAMI (6264)<P>The mechanism action of vilazodone is somewhat different from many antidepressants. While vilazodone does inhibit the reuptake of serotonin like so many other antidepressants, it's also a "partial agonist" of the serotonin 1A receptor. This second mechanism may be particularly helpful for some people based on the receptivity of their serotonin 1A receptor. </P><P>It's not clear who will be most likely to respond well to vilazodone as a result of its effect on the serotonin 1A receptor. However, future research focusing on differential response may well lead to clues that will help us identify who will respond to vilazodone. </P><P>The metabolic profile of vilazodone makes it quite likely that most people will be able to tolerate it at the recommended dose. However, since vilazodone is metabolized by the cytochrome P450 3A4 enzyme, a small number of people who have deficient copies of the gene that codes for this enzyme are unlikely to tolerate vilazodone at the standard dose. This problem with tolerance will also be true for people who have a normal metabolic capacity, but who take medications that inhibit the function of the 3A4 enzyme. </P><P>One of the most attractive aspects of this newly released antidepressant is that the initial clinical trials reported a quite low incidence of sexual side effects. If these initial reports are confirmed as larger numbers of people are treated, vilazodone will clearly become the antidepressant of choice for those who have struggled with sexual side effects while taking either the SSRI's or the SNRI's. </P><P>At this point, there's been little pharmacogenomic research focused on this new drug. However, as individualized molecular psychiatry becomes more prominently practiced, future research will hopefully provide some clues as to which of you will be most likely to respond to vilazodone. </P>blog index Unknownnoreply@blogger.com0tag:blogger.com,1999:blog-52477291242113628.post-22986023592255725232011-10-08T15:07:00.000-07:002011-10-08T15:07:00.430-07:00Benefits of medical I.D. bracelets<P>If you have diabetes and use insulin, consider wearing a medical I.D. bracelet (medical identification bracelet). No one plans to have a medical emergency, but it's a good idea to be prepared for one. </P><br /><P>Medical I.D. bracelets are an excellent way to expedite treatment and avoid misdiagnosis during an emergency. Paramedics are trained to look for medical I.D. bracelets. </P><br /><P>Both high and low blood sugar can lead to unconsciousness, coma, seizures and death. If emergency care personnel need to look through your wallet or purse for a medical I.D., treatment may be delayed. And if a person is behaving oddly or has lost consciousness, bystanders are more likely to call for help if they recognize that the problem is medical, rather than related to drugs or alcohol. </P><br /><P>Medical I.D. bracelets don't have to be ugly. Many attractive medical I.D. bracelet options exist. Check at your local pharmacy, or do an online search for medical I.D. bracelets. You might be surprised by your options! </P><br /><P>Peggy </P>Unknownnoreply@blogger.com0tag:blogger.com,1999:blog-52477291242113628.post-11563678804622951262011-10-08T01:28:00.000-07:002011-10-08T01:28:00.057-07:00Treatment resistant depression focus of gene research <P>In recent blog entries, we've discussed research that's linked gene variations with medications in order to determine if they'll be safe and effective for individuals with depression. </P>National Suicide Prevention Lifeline<BR>1-800-273-TALK (8255) Go to the nearest hospital or emergency roomCall your physician, health provider or clergyNational Alliance on Mental Illness<BR>www.nami.org<BR>1-800-950-NAMI (6264)<P>The study of these relationships is referred to as psychiatric pharmacogenomics. These aren't tests to determine whether someone is depressed or not. As some of you pointed out, after years of suffering, the diagnosis of depression is not the issue. </P><P>The important new development is trying to find an effective treatment. While single genes such as the serotonin transporter gene provide us with some clues, there are still other genes that need to be discovered in order to be able to make better predictions than we can today. </P><P>In the past year, three large studies have been conducted to explore possible new genes associated with a better outcome. They include a study in England that found a gene called interleukin-2 was associated with a response to Celexa. However, studies in Germany and the United States didn't confirm this finding. </P><P>At Mayo Clinic, we're conducting a similar study to try to identify more gene variants so that we can make better predictions of response to treatment. Another goal is to find new genes that are associated with adverse effects. While many adverse effects are associated with antidepressant medications, one of the most serious is "activating" an episode of mania in someone who's previously not experienced mania. </P><P>Another major concern is that sometimes antidepressant medication seems to aggravate suicidal thoughts. Progress is being made in using genomic testing to be able to identify who may be more likely to develop these problems. </P><P>One of the greatest motivations for finding new genes associated with medication response is that gene variation may give us new clues to help us develop new medications for depression — given that at least one in five of you with depression don't respond to any of the drugs currently available. </P><P>Helping you if you have treatment resistant depression is a critically important priority for research. Please share your thoughts. </P>blog index Unknownnoreply@blogger.com0tag:blogger.com,1999:blog-52477291242113628.post-52654762708026007212011-10-07T19:29:00.000-07:002011-10-07T19:29:00.354-07:00Diabulimia: Recognize this eating disorder <P>According to the National Eating Disorders Association, eating disorders — such as anorexia, bulimia and binge eating disorder — include extreme emotions, attitudes and behaviors surrounding weight and food issues. Eating disorders are serious emotional and physical problems that can have life-threatening consequences for females and males. </P><P>The Juvenile Diabetes Research Foundation reports that a new type of eating disorder has surfaced. Unofficially coined "diabulimia," the condition occurs when those with type 1 diabetes skip or restrict insulin use to lose weight. Type 1 diabetes is a dangerous disease if untreated. Failing to take insulin raises your blood sugar and results in frequent urination — the body's attempt to rid itself of excess sugar in the bloodstream — resulting in rapid weight loss. </P><P>According to the American Diabetes Association (ADA), researchers estimate that 10 to 20 percent of females with diabetes in their mid-teens and 30 to 40 percent of those in their late teens or young adult years skip or alter insulin doses to control their weight. Uncontrolled blood sugar can lead to long-term complications, such as heart attacks, strokes, eye problems or blindness, nerve damage in the hands and feet, kidney damage, and gum disease. </P><P>The ADA suggests that early warning signs of an eating disorder such as diabulimia in someone with diabetes include: </P>Very high A1C test resultsFrequent hospitalizations for diabetes ketoacidosisFrequent severe low blood sugarAnxiety or avoidance of being weighedWidely fluctuating blood sugar levels without obvious reasonDelay in puberty or sexual maturation or irregular or no mensesBinging with food or alcohol at least twice a week for 3 monthsExercising more than is necessary to stay fitSevere family stress<P>If you think that you or a loved one might have diabulimia or another eating disorder, please talk to your healthcare provider. It is important that you seek evaluation and treatment. Your provider can recommend a health counselor who will help you or your loved one with this problem. </P><P>Peggy </P>blog index Unknownnoreply@blogger.com0tag:blogger.com,1999:blog-52477291242113628.post-85441747474842869292011-10-07T11:50:00.000-07:002011-10-07T11:50:00.291-07:00Sorting out the evidence for antidepressants <P>In the July 9 New York Times, Dr. Peter Kramer wrote a piece titled, "In Defense of Antidepressants". It seems ironic that such an article is needed, given the substantial evidence that antidepressants have helped millions of people. However, there continues to be a confusing, academic argument about some of the studies of antidepressants. </P>National Suicide Prevention Lifeline<BR>1-800-273-TALK (8255) Go to the nearest hospital or emergency roomCall your physician, health provider or clergyNational Alliance on Mental Illness<BR>www.nami.org<BR>1-800-950-NAMI (6264)<P>Dr. Kramer is a gifted psychiatrist. He achieved national recognition 18 years ago when he wrote the book "Listening to Prozac". He made his patients come to life for the reader. I read the book and was impressed by how many people he had helped to find their way forward by combining sensitive psychotherapy and appropriate use of one of the earliest serotonin reuptake inhibitors, Prozac. </P><P>While his recent article takes on a difficult topic, I was pleased that the paper published it. While some of the details are too esoteric for most readers to follow, the balance of evidence clearly demonstrates that antidepressants work. That's also the conclusion of the FDA and is the experience of many people who have recovered from a serious depression. </P><P>Of course, as has been discussed at great lengths on this blog, not all antidepressants work for everyone. Additionally, for some of you, the side effects can be intolerable. Despite millions of dollars of research, the process of finding the right antidepressant is still a difficult one. </P><P>While some new tools, such as pharmacogenomic testing, make this process somewhat more rational, it's clear that the search for a better antidepressant must continue and that research designed to identify which people will respond to which medication should have a high funding priority from the National Institute of Health. </P><P>One type of study that Dr. Kramer discusses is particularly interesting and rarely considered. These are "maintenance studies". In his article, Dr. Kramer refers to a large study of 4,410 patients who initially had a good response to an antidepressant. The study was designed to focus on the question of how long to continue treatment. The study also wanted to examine the possibility that some patients may respond to treatment as a consequence of other factors besides their medication. </P><P>In this study, after successful treatment, half of the patients were switched to a placebo and the remainder continued to receive their active antidepressant. The participants didn't know if they were still getting their antidepressant or had been switched to a sugar pill. In many ways, this is a tough study to volunteer to be in. However, the results were clear. About 70 percent of those who were switched to the placebo relapsed, while most who remained on their medication didn't relapse. </P><P>This finding strongly suggests that simply believing that you're taking your antidepressant is not sufficient to maintain a good response. This result makes good sense and supports the importance of staying on a medication that's working. </P><P>A link to Dr. Kramer's article can be found in the Resources tab above. </P><P>Please share your thoughts. </P>blog index Unknownnoreply@blogger.com0tag:blogger.com,1999:blog-52477291242113628.post-27095673192313060202011-10-07T05:45:00.000-07:002011-10-07T05:45:01.023-07:00Pets with diabetes<P>This week I'd like to deviate from the human nature of diabetes and chat, instead, about our animal friends (pets) with diabetes. For the first time in my life, I have the opportunity to have a dog in my life, so I started looking at local websites for adoptable dogs. I'm looking for a medium to large adult female dog that's trained, laid back and likes children. A particular dog caught my eye. Her name is Carlie, and she's a golden retriever and Labrador mix. Carlie has diabetes and is in a foster home that's taking great care of her. Carlie was extremely overweight and has gone from 118 pounds to 75 pounds. Her foster parents have her on a special diet and exercise regimen, and she's given insulin injections twice a day. I started asking my patients about their pets. The first patient I saw today told me her dog has diabetes. </P><br /><P>I recently did some research on pets with diabetes and found that: </P>Diabetes is on the rise in United States cats and dogs as they, and we, become more overweight.Overweight cats are six times more likely to develop diabetes than are thinner cats.Symptoms of diabetes in pets include excessive urination, increased thirst and weight loss.Dogs often get type 1 diabetes, and type 2 diabetes is more common in cats.Like humans, dogs properly treated for diabetes typically live a long, full life.<br /><P>Right now, I have a choice whether or not to take on the management of owning a pet with diabetes, unlike those of you who have diabetes and have no choice but to cope with the daily self-management of this chronic disease. As a first time dog owner, Carlie would be quite a commitment, and I don't know if I have the time or resources to manage her properly. I want to make the right decision for me and her. I'll keep you posted on my decision. </P><br /><P>Please share stories about your pets with diabetes, including pros and cons. </P><br /><P>Have a great week. </P><br /><P>Regards, </P><br /><P>Nancy </P>Unknownnoreply@blogger.com0tag:blogger.com,1999:blog-52477291242113628.post-25302574969590861632011-10-06T16:20:00.000-07:002011-10-06T16:20:00.089-07:00Managing depression during the holidays <P>Get <STRONG>free personalized</STRONG> health guidance for you and your family.</P>Get Started <P>For some, the holidays are an especially difficult time. For others, this is a joyous time of year. National Suicide Prevention Lifeline<BR>1-800-273-TALK (8255) Go to the nearest hospital or emergency roomCall your physician, health provider or clergyNational Alliance on Mental Illness<BR>www.nami.org<BR>1-800-950-NAMI (6264)Holiday depression — and depression in general — challenges even the most optimistic people. Although it may be difficult, promise yourself that you will commit to having a positive attitude. If you're feeling depressed during the holidays, do the following for yourself: (this will take practice) </P>Do the best you can. (perfection is not attainable)Give yourself the gift of positive self talk (don't repeat negative message from the past that are not true)Truly believe in yourself, including your goodness and self-worthAccept that life is not perfect. Injustices and suffering occur. It is normal at times to feel angry and to grieve. Get help on how to manage these feelings.<P>Depression can literally strip away self-esteem and the hope that things can get better. Depression can cause you to think in a very negative manner. But don't get discouraged. Get the help you deserve today. Share with us any tips you use on getting through holiday depression. </P>blog index <BR><P>Privacy policy (Updated Aug. 2, 2011) Terms and conditions of use policy (Updated Aug. 2, 2011) </P><P>LEGAL CONDITIONS AND TERMS OF USE APPLICABLE TO ALL USERS OF THIS SITE. ANY USE OF THIS SITE CONSTITUTES YOUR AGREEMENT TO THESE TERMS AND CONDITIONS OF USE. </P><P>© 1998-2011 Mayo Foundation for Medical Education and Research. All rights reserved. </P>Unknownnoreply@blogger.com0tag:blogger.com,1999:blog-52477291242113628.post-7817680198857628212011-10-06T11:50:00.000-07:002011-10-06T11:50:00.121-07:00Know your blood glucose target range<P>Wow, what a tremendous response to the new diabetes blog. You are showing the huge impact diabetes has on an individual's life, family, community, and society as a whole. </P><br /><P>Peggy and I would like to thank all of you for sharing your stories about living with diabetes. As you all know, diabetes is a complex issue and there are many facets involved in managing and living with the disease. </P><br /><P>In viewing the comments, we would like to thank you for sharing your personal experiences, challenges, burdens, and successes. This is your opportunity to share information and tips, and Peggy and I plan on choosing a couple items each week to respond to. </P><br /><P>This week I would like to talk about the blood glucose target range. What should it be? A normal fasting blood glucose target range for an individual without diabetes is 70-100 mg/dL (3.9-5.6 mmol/L). The American Diabetes Association recommends a fasting plasma glucose level of 70–130 mg/dL (3.9-7.2 mmol/L) and after meals less than 180 mg/dL (10 mmol/L). </P><br /><P>Individuals with hypoglycemic unawareness (limited or no awareness of low blood glucose symptoms) may require a lower target range. Your healthcare provider may personalize your blood glucose target for specific medical conditions. Blood glucose targets should be in a healthy range to prevent diabetes complications, but also keep you safe from serious low blood glucoses. </P><br /><P>Remember, blood glucose targets are targets. Diabetes is a balancing acting and blood glucoses will fluctuate; even sharpshooters don't hit the bull's-eye every time. </P><br /><P>Once again, thank you. Keep the comments coming. We will try to address some of your concerns in the upcoming weeks. </P><br /><P>- Nancy </P>Unknownnoreply@blogger.com0tag:blogger.com,1999:blog-52477291242113628.post-88008176976818171072011-10-06T05:47:00.000-07:002011-10-06T05:47:00.778-07:00Is light therapy a good depression treatment option? <P>We've known for awhile that some people will have a worsening of their mood in the winter. National Suicide Prevention Lifeline<BR>1-800-273-TALK (8255) Go to the nearest hospital or emergency roomCall your physician, health provider or clergyNational Alliance on Mental Illness<BR>www.nami.org<BR>1-800-950-NAMI (6264)This is referred to as Seasonal Affective Disorder or SAD. SAD can be treated effectively with medication and/or light therapy. </P><P>A specific type of light, a full-spectrum light, is sometimes used to treat SAD. Insurance may or may not pay for the light. Not all people with depression have a seasonal worsening of mood. </P><P>Some things to keep in mind about SAD and light therapy: </P>The benefits of light therapy have clearly been shown in multiple studies over many yearsMost people with a diagnosis of SAD show improvement in depressive symptoms one week after starting light therapyLight therapy typically causes few side effects Light therapy requires 15 to 30 minutes per dayUse of light therapy in patients with bipolar affective disorder may destabilize the mood<P>Currently, researchers are looking at using light therapy to treat major depressive disorder as well as other psychiatric illnesses. Time will tell if light therapy can be used alone to treat depression or other psychiatric illnesses. As always, don't self-diagnose or self- treat; talk to your provider about your symptoms. </P>blog index Unknownnoreply@blogger.com0tag:blogger.com,1999:blog-52477291242113628.post-6045441301940151932011-10-05T17:12:00.000-07:002011-10-05T17:12:00.563-07:00Tips for diabetes caregivers <P>Friends or family members often ask us how they can help a loved one who has diabetes to make lifestyle changes. With a husband who has type 2 diabetes and two sons who have type 1 diabetes, I know that there's a lot to learn about living well with diabetes on a personal level. Diabetes is a hard disease to handle alone. </P><P>Here are some ways that you can support your friend or loved one. </P><STRONG>Voice your support.</STRONG> Let the person with diabetes know that you love them and are willing to help.<STRONG>Learn about diabetes.</STRONG> Read books and reliable websites on diabetes. And go to doctor's appointments and diabetes classes with your loved one. <STRONG>Talk about your feelings.</STRONG> Let your loved one know that his or her diabetes affects you, too.<STRONG>Let go.</STRONG> It's not your responsibility to manage another person's diabetes. Just because I'm a certified diabetes educator doesn't give me nagging rights. My family members with diabetes feel more comfortable asking for help when I'm simply available to them.<P>I've also found that lifestyle changes that are good for a person who has diabetes are also beneficial to the rest of the family. For example: </P><STRONG>Exercise together.</STRONG> Exercise for you and your loved one with diabetes. Invite your loved one to go to the gym or for a walk with you.<STRONG>Choose healthy foods.</STRONG> Healthy meals benefit the whole family. If you have a relative with diabetes, you're at risk. Making lifestyle changes now can postpone or prevent diabetes!<STRONG>Encourage.</STRONG> Applaud your loved one's efforts and successes and encourage him or her during struggles.<STRONG>Be considerate.</STRONG> When having a party, offer healthy, tasty treats such as fresh fruit.<STRONG>Seek outside help.</STRONG> If your loved one is sad or depressed, ask your health care provider about ways to get help. Ask about a diabetes support group in your area. You can also ask to meet with a certified diabetes educator.<P>Being the primary caregiver for a person who has diabetes can take an emotional toll. A diabetes caregiver may be the one taking ownership of his or her loved one's diabetes if the person with diabetes doesn't or can't. If you find it's too much for you, talk with your healthcare provider or diabetes educator. Together, you can determine at what point you may need outside assistance, such as from a nurse. </P><P>Peggy </P>blog index Unknownnoreply@blogger.com0