Ten Errors on Diabetes

1. Diabetes is not off the disease - One!

Fact, diabetes is a global killer, which caused the death of far more than mortality due to HIV / AIDS. The disease killed 3.8 million people a year. Every 10 seconds someone dies as a result diabetes or associated with diabetes.


2. Diabetes impact only in rich countries- country only - False!
Diabetes attack all the population, irrespective of how much income is population. This number continues to grow. More than 240 million people in the world currently have a diabetic. This number will continue to grow to more than 380 million in the year 2025. In some countries in Asia, the Middle East, Oceania and the Caribbean, diabetes 12-20% of the population affected by diabetes. At 2025, 80% cases of diabetes will occur in the country and middle-income low.

3. Diabetes-funded large-scale global - False!
Official Overseas Development Aid (official foreign aid) for the health sector in 2002 reached USD 2.9 billion, and only 0.1% to fund the ENTIRE course of disease is not infectious chronicles (Chronic non-communicable disease). Most of the funds of USD 2.9 billion this fund for HIV / AIDS. Although diabetes is far more death globally. If compared with the HIV / AIDS, diabetes funds to be obtained only from a fraction of that 0.1% of the available funds.
In addition, the bank world to give USD 4.2 billion loan to fund health, nutrition and population between 1997 and 2002. Only 2.5% of the funds given to it chronicles.

4. Diabetes can be treated with the low cost - False!
Diabetes care and high price potential to cripple any health maintenance system. Development economic opportunities created by the United Nations want to developing countries would be rarefy diabetes due to the impact of this problem.

5. Diabetes only affects the elderly only - False!
In fact, diabetes affects nearly all age groups. Currently, the estimated 246 million people between the ages of 20 to 79 will be affected by diabetes. In the developing countries about diabetes at least 80 million people between age 40-59.

6. Diabetes dominated among men-One!
In fact, diabetes experienced by both men and women. Even few i more experienced by women. This has also increased dramatically be young population and due to certain risk factors offspring.

7. Diabetes is due to "lifestyle" that is not healthy-One!
And poor children have only limited options for living in the food and education. In short, they are forced (or forced) "lifestyle" is not due to healthy economic conditions and lack of education.

8. Diabetes can not be prevented - False!

Statement above is true for the case of type 1 diabetes, more than 80% of type 2 diabetes can be prevented with a healthy diet, physical activity increased and encourage healthy lifestyles.

9. Diabetes prevented for the cost of the expensive - False!
Many of the cheap and low cost to prevent diabetes. Improvements to the environment, changes in diet and increased physical activity can prevent diabetes pandemic.

10. Yet we all will die, as by something - but it is true. . .
Death is indeed the case can not be dodged, but death does not just have to experience a slow, painful, or early. Diabetes caused 3.8 million deaths globally. With awareness, prevention and handling of the right, this can prevent us.

Diabetes Mellitus (DM)

Diabetes mellitus (DM) commonly known as diabetes is a disease marked with hiperglisemia (increased blood sugar) the ongoing and varied, especially after meals. Other sources said that the definition of diabetes mellitus is a condition with many hiperglikemia chroniclesmetabolik aberration due to hormonal disturbances, which cause various complications chronicles the eyes, kidneys, and blood vessel, accompanied lesi on the membrane in the basalis examination with electron microscope.

All types of diabetes mellitus have similar symptoms and complications at the level of information. Hiperglisemia itself can cause dehydration and ketoasidosis. Long-term complications, including diseases kardiovaskular (double the risk), chronic kidney failure (the main dialisis), retina damage that can cause blindness, and nerve damage that can cause impotensi and gangren risk concision. Complications are more common when the more serious control blood sugar bad.


Type

World Health Organization (WHO) recognizes three forms of diabetes mellitus, namely type 1, type 2, diabetes and gestasional (occurs during pregnancy)

• Diabetes mellitus type 1

Diabetes mellitus type 1 - first called insulin-dependent diabetes (IDDM, insulin-dependent insulin “), or diabetic children, characterized the loss of beta cells produce insulin in the islands Langerhans pancreas so that insulin deficiency occurs in the body. This type of diabetes can be suffered by children and adults.

To date, the type 1 diabetes can not be prevented. Diet and exercise can not cure or prevent type 1 diabetes. Most people with type 1 diabetes have the health and body weight is good when the disease began in his suffering. In addition, the body’s sensitivity and response to insulin generally normal in this type of diabetes, especially in the early stages.

The cause of most of the loss of beta cells in type 1 diabetes is an error that the reaction autoimunitas pancreas beta cells. Autoimunitas reaction can be triggered by an infection in the body.

Currently, type 1 diabetes can only be treated with insulin use, with the precise control of blood glucose levels through a blood test monitoring tools. Medicine basic type 1 diabetes, even though the earliest stages, is replacement of insulin. Without insulin, ketosis and diabetic ketoacidosis can cause coma and even death can result. Emphasis is also given on lifestyle adjustments (diet and sports). Apart from the injection in general, are also possible through the provision of insulin pump, which allows for the provision of inputs insulin 24 hours a day at the dose level that has been determined, also made possible the dose (a bolus) of insulin that is required at the time to eat. And also for the possible entry of insulin through the “inhaled powder.”

Treatment type 1 diabetes must take hold. Treatment will not affect the normal activities if sufficient awareness, appropriate care, and discipline in the examination and treatment is started. Glucose level of the average for type 1 diabetes patients should be as close as possible to the normal number (80-120 mg / dl, 4-6 mmol / l).
Some doctors suggest up to 140-150 mg / dl (7-7.5 mmol / l) for those with problems with the lowest. such as frequent hypoglycemic events.
Figures above 200 mg / dl (10 mmol / l) are often followed by a feeling of comfort and do not dispose of water that is too small so that often cause dehydration.
Figures above 300 mg / dl (15 mmol / l) usually require treatment as soon as possible and can lead to ketoasidosis.
Blood glucose level is low, which is called hypoglycemia, can cause convulsions or loss of consciousness often.

• Diabetes mellitus type 2

Diabetes mellitus type 2 - previously called non-insulin-dependent diabetes mellitus (NIDDM, “diabetes is not dependent on insulin”) - occurs because the combination of “disability in the production of insulin and insulin resistance against” or “reduced sensitivity to insulin” (the network defek response to insulin), which involves reseptor insulin in the cell membrane.
At the initial stage abnormalitas the most is the reduced sensitivity to insulin, which is marked with increased insulin content in the blood.
At this stage, hiperglikemia above can in many ways and Anti Diabetes Drugs that can increase sensitivity to insulin or reduce the production of glucose hepar, but the more severe disease, with insulin therapy and sometimes required.
There are several theories of the causes and mechanism of a certain resistance, but central Obesity (fat concentrated around the waist in relation to abdominal organs, it seems not, subcutaneous fat) is known as a factor predisposisi of a resistance to insulin, may be in connection with the expenditure of adipokines (its a group of hormones) that damage the glucose tolerance. abdominal fat is hormonally especially aktip. Obesity found in approximately 90% of patients developed world conclude with type 2 diabetes. Other factors may include family history and brood, even in the decades is one] end of [that] has continued to increase start to affect teenagers and children.

Type 2 diabetes may go unnoticed for years in a patient [before / in front of] the diagnostic results [as / when] the visible symptoms are typical of soft or does not exist, without ketoacidotic, and can be sporadic .. However, the difficulties that can be caused by provoking unnoticed type 2 diabetes, including failure associated with kidney disease who vaskuler (including carotid disease / heart attack the main road), the vision sabotage, and other
Type 2 diabetes usually, initially, treated with a change in physical activity (usually increase), diet (usually a reduction in carbohydrate Feed), and through reduction in body weight.
This endeavor can return hormone insulin sensitivity, even when the weight loss / burden is modest, for example, around 5 kg (10 to 15 lb), most especially when it is in the deposits of abdominal fat. The next step, if necessary, treatment with oral [antidiabetic drugs. [As / When / For] hormone insulin production in the first treatment is unimpaired, oral (often used in combination) cans still be used to increase the production of hormone insulin (eg, sulfonylureas), and set the release / release that are not appropriate on glucose by liver {and low retaliation hormone insulin to a certain extent (eg, metformin)}, and at the bottom of reckoning rarefy hormone insulin (eg, thiazolidinediones).
If this fails, the hormone insulin medicine will be required to maintain normal or near normal glucose levels.
A orderly way of life that checks on blood glucose is recommended in many cases, most particularly and most necessary when taking medication.

• Diabetes mellitus gestasional

Gestasional diabetes mellitus (gestational diabetes mellitus, GDM) also involve a combination of reaction and the ability of the hormone insulin is not enough, simulate type 2 diabetes in some recognition.
That flowers,during pregnancy and may improve or disappear after delivery fleet.
Although passengers may be temporary, gestational diabetes can devastate the health of the fetus or the mother, and about 20% -50% of women with gestational diabetes flowers; a type 2 diabetes and in life.

Gestational diabetes mellitus (GDM) occurs in approximately 2% -5% of all pregnancies. That is a temporary and full treatment but can not be treated, can cause problems with pregnancy, including macrosomia (high birth weight), the form of a deformed fetus issues and heart disease since birth. That requires careful control of the medical throughout pregnancy.

Fetal / neonatal risks associated with GDM include birth anomaly, such as dealing with the heart, nerves of the central system, and [as / when / because] the form of muscle deficiency. Improved hormone insulin matters fetus may prevent distress syndrome and surfactant production of things that relate respiratory fetus. Hyperbilirubinemia can be caused by destruction of red blood cells. In the case of a nettle, perinatal death may occur, most commonly as a result of the abundance of weak placental / poor in connection with the destruction / weakening of vaskuler.

Induction / appointment may be reduced with the placental function. Cesarean section may be marked distress if things fetus or an increased risk of loss associated with macrosomia, such as shoulder dystocia.

Symptoms

The classic triad of diabetes symptoms is polyuria (frequent urination that), polydipsia (increased thirst and fluid as a result of input improved) and polyphagia (improved taste). Symptoms can breed; a really fast set printed 1, particularly in children (days or weeks) but may be difficult to fully separated or absent & & mdash; as well as expand; a far more slowly & mdash; set to print 2. Is set to print 1 [in / to] there may also be weight loss / load (in addition to the normal or increased eating) and the fatigue that is not may be more.
Symptoms may also come into this set printed 2 diabetes in the diabetes patient who is to be less good. Symptoms associated with the first direct effect of blood sugar is high. If the blood sugar up above 160-180 mg / dl, the glucose will be up to the water urine. If the measure is high, the kidneys remove extra water to dilute the amount of glucose lost. Because the kidneys produce urine in the amount of water is excessive, then the patient often the urine in the number of lots (poliuri).

Poliuri due to the people who feel thirsty to drink excessively so many (polidipsi).

A large amount of calories to lose water in urine, the patient experienced a decrease in body weight. To this overcompensation’s people often feel hungry, so extraordinary that many meals (polifagi).
Symptoms are vague views, dizziness, nausea, and reduced resilience during the conduct of sports. People with diabetes who are more or less sensitive to infection.

Because of the lack of insulin, then before the treatment of type I diabetes is almost always a drop weight. Most people with type II diabetes did not experience a decrease in body weight.

In the type I diabetics, the symptoms occur suddenly and can quickly develop into a situation that called ketoasidosis diabetikum. Sugar in the blood is high because most of the cells can not use sugar without insulin, the cells take this energy from other sources. Parsed and fat cells produce keton, which is a toxic chemical compound that can cause blood to become acid (ketoasidosis). Early symptoms of ketoasidosis diabetikum is feeling thirsty and berkemih excessive, nausea, vomiting, stomach aches and tired (especially in children). Inhalation in a fast and because the body tries to improve blood acidity. Tercium breath smell like the smell of aseton.
Without treatment, ketoasidosis diabetikum can develop into coma, sometimes within just a few hours.

Even after the start insulin therapy, type I diabetics can experience ketoasidosis if they pass a one-time injector insulin or stress due to infection,accident or a serious illness.

People with type II diabetes may not show symptoms several years. If the severe lack of insulin, the timbullah symptoms often include often feel thirsty. Ketoasidosis rare. If blood sugar is very high (up to more than 1,000 mg / dl, usually caused stress, such as infection or drugs), then people will experience serious dehydration, which can cause mental confusion, dizziness, convulsions and a condition called coma hiperglikemik-hiperosmolar non-ketotik.

Symptoms associated with the first direct effect of blood sugar is high. If the blood sugar up above 160-180 mg / dl, the glucose will be up to the water urine. If the measure is high, the kidneys remove extra water to dilute the amount of glucose lost. Because the kidneys produce urine in the amount of water is excessive, then the patient often berkemih in the number of lots (poliuri).

Poliuri due to the people who feel thirsty to drink excessively so many (polidipsi).

A large amount of calories to lose water in urine, the patient experienced a decrease in body weight. To this overcompensation’s people often feel hungry, so extraordinary that many meals (polifagi).

Symptoms are vague views, dizziness, nausea, and reduced resilience during the conduct of sports. People with diabetes who are more or less sensitive to infection.

Because of the lack of insulin, then before the treatment of type I diabetes is almost always a drop weight. Most people with type II diabetes did not experience a decrease in body weight.

In the type I diabetics, the symptoms occur suddenly and can quickly develop into a situation that called ketoasidosis diabetikum. Sugar in the blood is high because most of the cells can not use sugar without insulin, the cells take this energy from other sources. Parsed and fat cells produce keton, which is a toxic chemical compound that can cause blood to become acid (ketoasidosis). Early symptoms of ketoasidosis diabetikum is feeling thirsty and hauberk’s excessive, nausea, vomiting, stomach aches and tired (especially in children). Inhalation in a fast and because the body tries to improve blood acidity. Tercium breath smell like the smell of aseton. Without treatment, ketoasidosis diabetikum can develop into coma, sometimes within just a few hours.

Even after the start insulin therapy, type I diabetics can experience ketoasidosis if they pass a one-time penyuntikan insulin or stress due to infection,accident or a serious illness.

People with type II diabetes may not show symptoms several years. If the severe lack of insulin, the ambulating symptoms often include often feel thirsty. Ketoasidosis rare. If blood sugar is very high (up to more than 1,000 mg / dl, usually caused stress, such as infection or drugs), then people will experience serious dehydration, which can cause mental confusion, dizziness, convulsions and a condition called coma hiperglikemik-hiperosmolar non-ketotik.
Diabetes and fasting

Patients are restrained enough to eat only with difficulty, if not fast. Patients with a relatively restrained drug dose did not have difficulties to fast. Drugs given during the fasting are not fasting. For a restrained with oral medication hipoglikemik (OHO) high dose, the dose of drugs given before are not fasting more than the dose sahur. To use the insulin, insulin used the medium term given current are not fasting only. Meanwhile, patients who must use insulin (DMTI) multiple doses, it is recommended not to fast in Ramadan.

Is Cardiomyopathy ( "weak heart muscle"), and how it is Classified?

The cardiomyopathies are a group of diseases in which the primary feature is direct involvement and weakening of the heart muscle (myocardium only). Cardiomyopathies are increasing in incidence and are a significant cause of death. Dilated cardiomyopathy, the most common type of cardiomyopathy, is reported to occur in 5 to 8 people per 100,000 population per year.

Cardiomyopathies occur more frequently in blacks than whites and more commonly in men than women. Factors that are associated with increased death rates in cardiomyopathy patients include the following:


Weak heart function (left ventricular ejection fraction:

• Aging (age greater than 55 years)

• Reduced functional capacity

• Electrical abnormalities

• Low blood sodium level (hyponatremia)

• Worsening kidney function.

Cardiomyopathy can be classified as primary, which is heart muscle disease of unknown cause, or secondary, which is heart muscle disease due to specific causes (such as narrowing of the heart arteries [coronary artery disease], heart valve disease, high blood pressure).

The World Health Organization (WHO) classifies cardiomyopathy into 3 major groups:

• Dilated

• Hypertrophic

• Restrictive.

What are the features and causes of dilated cardiomyopathy (DCM)?
Dilated cardiomyopathy (DCM) is typically characterized by significant enlargement of the 2 pumping chambers of the heart—the left ventricle (which pumps blood to the body) and the right ventricle (which pumps blood to the lungs). As a result of the chamber enlargement, there is some degree of reduction in the pumping power of the ventricle (reduced ejection fraction).

While there are many causes of DCM (nearly 80 specific diseases have been associated with DCM), a clear cause is often not identified in many individuals, and these cases are described as idiopathic. Alcohol abuse is a common cause of DCM, as long-term ingestion leads to cardiac cell (myocyte) damage with subsequent heart dysfunction. Many patients can see significant improvement if they stop drinking. Cocaine abuse can lead to DCM in some individuals; in 1 large study, more than 10% of cocaine users had at least mild left ventricular dysfunction.
Infectious causes can also lead to DCM. Viral infections can attack the heart muscle and lead to significant cardiac dysfunction; in many cases, the damage can be irreversible and severe. In young adults, severe viral-related DCM is the top reason to be "listed" for heart transplantation. Human immunodeficiency virus (HIV), the cause of AIDS, can also lead to DCM in a minority of causes. Vitamin deficiencies (such as thiamine) can lead to DCM, though such cases occur more commonly in Third World countries.

Metabolic disorders can lead to DCM. A relatively common example is hemochromatosis, a disease of iron metabolism, which is often familial and more common in men, in whom iron is deposited in the liver and heart muscle.
Peripartum cardiomyopathy is a form of DCM that typically occurs during the last 3 months of pregnancy and up to 6 months after delivery. It occurs in about 1 in every 5,000 pregnancies. The incidence is higher in women older than 30 years old and those with high blood pressure, multiple previous pregnancies, and twin pregnancies. Note that those who experience this condition are strongly discouraged from subsequent pregnancies, as the recurrence rate is high and death can even occur due to heart failure.

Chemotherapy drugs can lead to DCM in some individuals.
Drugs most commonly associated with DCM are doxorubicin, cyclophosphamide, amsacrine, and interferon. Neuromuscular disorders (disorders of the muscles and nervous system) are also associated with DCM.

Does therapy for DCM differ from that for congestive heart failure due to coronary artery disease (narrowing of the heart arteries)?
Treatment is similar for heart failure due to either DCM or coronary artery disease and includes:

• Salt restriction and diuretics (drugs that reduce lung and leg fluid via increased urine output)

• Beta-blockers (drugs that slow the heart rate and take stress off the heart)

• Angiotensin-converting enzyme (ACE) inhibitors (drugs that reduce the load on the heart by relaxing the body's major blood vessels)

• A combination of hydralazine and isosorbide nitrates (a drug option in those who cannot tolerate ACE inhibitors due to kidney function problems)

• Digoxin (a drug that helps improve the squeezing power of the heart).

What is hypertrophic cardiomyopathy (HCM)?

Hypertrophic cardiomyopathy (HCM) is a primary disorder of the heart muscle characterized by inappropriate hypertrophy (excessive growth) of the left ventricle, which is the chamber that pumps blood to the body's organs and tissues. In many individuals, hypertrophy predominantly involves the septum, which is the intracardiac wall that separates the left ventricle and right ventricle.

In at least one-quarter of cases, this variant leads to obstruction of blood flow out of the left ventricle and into the aorta and, hence, is called hypertrophic obstructive cardiomyopathy (HOCM). Overall annual death rates in HCM individuals are approximately 3% per year in adults, while the rates are higher in those with HOCM.

What are the causes of hypertrophic cardiomyopathy (HCM)?

In more than 50% of cases, HCM is genetically transmitted.

Most experts think that some if not all of the sporadic forms of HCM are due to spontaneous mutations (a sudden change in the genetic code of the developing fetus). At least 8 different genes have been associated with HCM. Note that genetic testing is not currently indicated (except in research settings), even in families in which HCM occurs, because knowing the type of gene defect does not impact subsequent treatment.

What are the most frequent symptoms in patients with HCM?

Shortness of breath (dyspnea) occurs in approximately 90% of symptomatic individuals with HCM. It occurs due to a combination of abnormalities, including poor relaxation of the stiff, thickened heart muscle (diastolic dysfunction), reduced blood flow into the main heart pumping chamber (impaired ventricular filling), and increased pressures in the left atrium and pulmonary veins.

Fainting and near-fainting (syncope and near-syncope) can occur in HCM patients due to inadequate cardiac output during times of increased demand (such as physical exertion or severe stress). Serious arrhythmias can also result in fainting episodes; in fact, such arrhythmias are a top cause of sudden death in otherwise healthy children and young adults.

Chest pain (angina pectoris) occurs in up to three-fourths of symptomatic patients.The discomfort is a result of an imbalance between a reduced oxygen supply to the heart (because of thickened and narrowed heart arteries) and increased demand (due to greater heart muscle).
What noninvasive testing can be used to evaluate patients with suspected DCM or HCM?


Useful tests include electrocardiography (ECG), chest x-ray, and ultrasound (echocardiography).
In symptomatic individuals, the ECG is usually abnormal, but no specific findings are diagnostic of either DCM or HCM.

A chest x-ray will demonstrate an enlarged cardiac silhouette in DCM patients and in some HCM patients.

An echocardiogram provides the most useful and specific information. In DCM patients, severe dilatation of the ventricles is demonstrated, and an accurate estimation can be made of the impairment of heart function. In HCM patients, thickening of the left ventricle is the cardinal feature. Other findings include narrowing of the outflow tract through which blood flows from the left ventricle and out through the aortic valve and into the aorta, a small left ventricular cavity size, and abnormal motion of the mitral valve.

What medical and invasive therapies are available to treat HCM patients?

Beta-blockers (examples include metoprolol and atenolol), which are drugs that slow down the heart rate, are the cornerstone of medical therapy for HCM. In up to two-thirds of patients, they reduce the frequency of chest pain, shortness of breath, and near fainting.
Calcium channel blockers, such as verapamil, have also been utilized with good success; they appear to help the thick heart muscle relax better (decreased diastolic dysfunction) and can reduce the outflow tract obstruction.

Insertion of a pacemaker may be useful in some patients with an outflow gradient and severe symptoms.

In high-risk patients, especially in those who have had serious ventricular arrhythmias or aborted sudden death, an implantable cardiac defibrillator (ICD) should be inserted.

Surgical and invasive options exist for severely symptomatic patients. A surgical myomectomy, or excision of excess heart muscle, has a mortality rate of 3% or less in large centers. Surgery results in long-term improvement in symptoms and exercise capacity in most patients.

A nonsurgical invasive approach involves injection of alcohol into 1 of the arteries supplying the excessively thickened septal wall; this is done via left catheterization (a small incision is made in a leg or arm artery to allow delivery of a catheter into the specific artery under x-ray guidance). Short-term results in experienced centers have been promising, but long-term results are still not available.

What is restrictive cardiomyopathy (RCM), and what are the most common forms?
Restrictive cardiomyopathy (RCM)—the least common of the cardiomyopathies—is characterized by abnormal relaxation of the heart muscle in the presence of normal ejection fraction. RCM is often classified into myocardial (throughout the heart muscle) and endocardial (from inside the ventricle).

The most common myocardial forms are amyloidosis and sarcoidosis (infiltrative diseases); scleroderma or idiopathic (noninfiltrative diseases); and hemochromatosis, glycogen storage diseases, and Fabry's disease (storage diseases).

Infiltrative diseases refer to abnormal proteins and cells generated by certain disease states that penetrate the heart muscle. Noninfiltrative diseases are typically diseases related to activation of the autoimmune system or due to a genetic abnormality that activates abnormal cardiac muscle growth, where the storage diseases refer to genetic abnormalities that lead to abnormal storage of sugars and other substances inside the heart muscle cells.

The most common endocardial forms of RCM are carcinoid, metastatic malignancy (spread of cancer), and endomyocardial fibrosis.

By Reducing the Weight Fast And Healthy

In the modern era is a lot of people about the problem so their body weight. Reducing the weight and attempts seem to look younger has become the life of many people at this time. Many diet products are offered to adapt to the needs of the present, the number of options to be confused even make a product where the most good and the match.

In fact, there are other ways to do the diet to reduce body weight and easily without assistance diet pills. And this way you can reduce the body weight with a healthy way as well as fast. See the following tips:

• Portion control

Set your portions, it is better for you to eat in accordance with the portion you eat food from the excessive. When you eat fewer portions, you can eat regularly throughout the day. For example, to create a higher metabolism you can eat 5 small meals a day with a distance of 2-3 hours. This can help your metabolism and also create a permanent full throughout the day.

• Avoid Food Sweet

Sugar is the enemy of time starting a diet. For some reason when you start to eat healthy food and a diet, often usually want to eat sweet food. The best way to avoid this problem is to eat your favorite fruit or jelly, when the desire arises.

• Water

To reduce the excess water in the body, you even have to drink lots of water to release water stored by the body. We hold the body of water to make sure that did not experience dehydration. When you drink more water throughout the day and every day, it will help remove the excess water in the body.

• On

Try to remain active with fun activities, activities that create relaxed free working days for you. Enjoy with your child, do yoga, walk or do a sports game.

The diet is not easy, but the key to the success of lower body weight is a commitment.In our minds is fortitude that will encourage businesses to conduct a more hard.

The Use of Antibiotics To Pregnant Women

Health - Antibiotics to pregnant women may harm babies

Antibiotics administered indiscriminately to pregnant women to delay premature birth may cause long-term harm to babies, a research has suggested.

The study, published in The Lancet, found that among women whose waters had not broken, giving antibiotics was associated with increased risk of cerebral palsy in the children and problems such as poor eyesight or hearing not only at birth but for decades beyond.
Britain has issued a warning about the indiscriminate prescribing of antibiotics to pregnant women to delay premature labour after research revealed that the practice may cause long-term harm to their babies, the Independent newspaper said today.



According to the British daily, Liam Donaldson, UK's chief medical officer, warned that the antibiotics should "not routinely be given" to women in premature labour where there was no sign of infection and whose waters had not broken, in line with "existing good clinical practice".

A clinical trial involving 12,000 women in the UK and around the world, published in 2001, found antibiotics delayed labour and improved outcomes for mother and babies at risk of giving birth prematurely.

According to the UK medical journal, a follow-up study seven years later of more than 8,000 of the women in the UK showed that among women whose waters had not broken, giving antibiotics was associated with up to a threefold rise in cerebral palsy, from 1.6 per cent in those given placebo to 4.4 per cent in those on two antibiotics, and a small increase in "mild" functional impairment such as poor co-ordination and poor eyesight.

However, among women whose waters had broken, giving antibiotics caused no long-term benefit or harm to their children, despite the improved outcome at birth revealed in the first study, the study showed.

Antibiotic Use in Pregnant Women Increases Risk of Functional Impairment in Their Children NEW YORK -- September 17, 2008 -- Long-term follow-up data on a trial to assess the effects of antibiotics given to pregnant women experiencing premature labour, with intact membranes and no obvious infection, has revealed an unexpected increased risk of functional impairment and/or cerebral palsy in some children.

This is among the conclusions of the Overview of the Role of Antibiotics in Curtailing Labour and Early Delivery (ORACLE) Children's Study, published early online in 2 articles and in an upcoming edition of The Lancet.

Both studies are authored by Sara Kenyon, MD, University of Leicester, Leicester, United Kingdom, and colleagues from the ORACLE study group.
The ORACLE Children Study I and II were carried out in the UK to discover whether erythromycin and co-amoxiclav had any long-term effects on the children at 7 years of age born to these mothers.

The ORACLE Children Study II looked at mothers in spontaneous premature labour with intact membranes surrounding their unborn child and no obvious sign of infection.

The children were born to the 4,221 women who had completed the study, and were followed-up after 7 years using a structured parental questionnaire to assess the child's health status. Data for 3,196 (71%) of eligible children was available.

The researchers found that functional impairment was increased in children of mothers who received erythromycin (42.3%, 658 children) compared with no erythromycin (38.3%, 574 children) -- an increase in relative risk of 18% for receiving erythromycin. Co-amoxiclav (with or without erythromycin) had no effect of the proportion of children with any functional impairment.

The researchers also made the unexpected discovery that more children whose mothers had received the antibiotics developed cerebral palsy than those who did not.

For mothers receiving erythromycin (with or without co-amoxiclav), 53 (3.3%) children had cerebral palsy compared with 27 (1.7%) receiving no erythromycin. For mothers given co-amoxiclav (with or without erythromycin), 50 (3.2%) children had cerebral palsy versus 30 (1.9%) receiving no co-amoxiclav.

The risk was clearest for mothers given both antibiotics: 35 (4.4%) of children had cerebral palsy compared with 12 (1.6%) of mothers receiving double placebo.
No effects were seen with either antibiotic on the number of deaths, other medical conditions, behavioural patterns, or educational attainment.

"The prescription of erythromycin for women in spontaneous preterm labour with intact membranes was associated with an increase in functional impairment among their children at 7 years of age. The risk of cerebral palsy was increased by either antibiotic, although the overall risk of this condition was low," the authors concluded.

The ORACLE Children Study I followed up 4,148 eligible children whose mothers joined the trial with preterm rupture of the membranes without obvious signs of infection.

The original trial reported that prescription of erythromycin to these women resulted in reductions in short-term neonatal morbidity and erythromycin is now recommended treatment.

The Children Study, which assessed data from 3,298 (75%) eligible children, found no differences in functional impairment with either antibiotic, and no differences in behavioural difficulties, medical conditions, or educational achievement.

In relation to this part of the study, the authors said that "the prescription of antibiotics for women with preterm rupture of the membranes seems to have little effect on the health of children at 7 years of age."

In an accompanying comment, Philip J. Steer, Chelsea and Westminster Hospital, London, United Kingdom, and Alison Bedford Russell, Warwick Medical School, Coventry, and Heart of England NHS Trust, Birmingham, United Kingdom said: "The lessons to be learned seem clear; contrary to popular opinion, antibiotics are not risk-free. There are good reasons not to give them in association with threatened preterm labour unless there is clear evidence of infection. It is vital the practice is not extended by stealth beyond that which is justified by the evidence, and interventions given in pregnancy should always be evaluated with proper long-term follow-up."

Honey as Medicine Benefits

Ayurvedic as well as Yunani medicine have been using honey as a vital medicine for centuries.

Today’s western scientists also accept honey as a "Ram Ban" (very effective) medicine for all kinds of diseases without producing any side effects. Today, honey is produced in most of the countries of the world and is therefore available worldwide. Modern science maintains that although honey is sweet, if ingested in the right dosages as a medication, diabetic patients will also be able to intake it.

According to Ayurvedic medicine, a mixture of Honey and Cinnamon can be beneficial to many ailments and diseases and on 17^th January 1995, ‘Weekly World News’ - Canada, published a list of ailments/diseases that can be helped / treated with a Honey/Cinnamon mixture. Some of the important details of that information are as below:

• HEART DISEASES

Make a paste of honey and cinnamon powder, spread it on bread or chapatti instead of jelly and jam and eat it regularly for breakfast. This can help to reduce the cholesterol in the arteries and maybe reduce the possibility of a heart patient from suffering a heart attack. Patients, who have already suffered attacks, are also advised to ingest the honey/cinnamon mixture to ward off further attacks.

Regular use of the mixture relieves loss of breath and strengthens the heartbeat. In USA and Canada, various nursing homes have treated patients successfully and have found that due to increasing age, the arteries and veins, which lose their flexibility and become clogged, are revitalized.

• ARTHRITIS

Mix one part honey to two parts of lukewarm water and add a small level teaspoon of cinnamon powder. Make a paste and massage slowly onto the itching area of the body. It has been found that the pain can recede within a minute or two. Arthritic patients can also benefit from the daily intake morning and evening, of one cup of hot water with two spoons of honey and one small teaspoon of cinnamon powder mixed together. In a recent research program conducted at Copenhagen University, it was found that when the doctors treated their patients with a mixture of one tablespoon honey and half a teaspoon cinnamon powder before breakfast; within a week, out of 200 patients who underwent the treatment, 73 patients were relieved of pain, and within a month most of the patients who could not walk or who had limited mobility due to their arthritis, started walking without pain.

• HAIR LOSS

For people suffering from hair loss or baldness the following paste has been found to be effective: In warm olive oil, mix one tablespoon of honey, one teaspoon cinnamon powder, make a paste and apply before taking a bath. Leave on the scalp /hair for around 5 ―15 minutes, and then wash the hair.

• BLADDER INFECTIONS

Stir two tablespoons of cinnamon powder and one teaspoon of honey in a glass of lukewarm water and ingest. This can destroy the bacteria in the bladder that are the cause of the infection.

• TOOTHACHE

Make a paste of one teaspoon of cinnamon powder and five teaspoons of honey and apply to the aching tooth. This may be applied 3 times a day until the tooth stops aching.

• CHOLESTEROL

Two tablespoons of honey and three teaspoons of cinnamon powder mixed into 16 ounces of tea water, can aid in the reduction of cholesterol levels in the blood by 10% within a two hour period. As mentioned above for arthritic patients, if this mixture is ingested 3 times day, chronic cholesterol can be lowered. Pure honey, also ingested daily without cinnamon, taken together with food, is an aid in lowering cholesterol levels.

• COLDS

Those suffering from common or severe colds should take one tablespoon lukewarm honey mixed with 1/4 spoon cinnamon powder daily for 3 days. This will cure most chronic coughs, colds and clear the sinuses.

• INFERTILITY

Yunani and Ayurvedic medicine have been using honey for thousands of years to strengthen the semen of men and improve impotence. Through the regular ingestion of two tablespoons of honey, prior to sleep, impotence can be greatly reduced. In China, Japan and Far-Eastern countries, women, who do not conceive and need to strengthen the uterus, have been taking cinnamon powder for centuries. Women, who are unable to conceive, may take a pinch of cinnamon powder in half teaspoon of honey and apply it on the gums frequently throughout the day, so that it slowly mixes with the saliva and can therefore enter the body. There is a story about a couple in Maryland, USA who were unable to produce children for 14 years and had lost hope of having a child of their own. When told about the honey cinnamon mixture both the husband and wife started ingesting the mixture and the wife conceived after a few months, giving birth to healthy twins.

• UPSET STOMACH

Honey taken with cinnamon powder cures stomachache and can also clear stomach ulcers.

• GAS

According to studies done in India & Japan, honey, taken together with cinnamon powder can relieve the stomach of gas.

• IMMUNE SYSTEM

Daily use of honey and cinnamon powder strengthens the immune system and protects the body from bacteria and viral attacks. Scientists have found that honey has various vitamins and iron in large amounts. Constant use of honey strengthens the white blood corpuscles to fight bacteria and viral diseases.

INDIGESTION Cinnamon powder sprinkled onto two tablespoons of honey taken before eating, relieves acidity and aids in the digestion of the heaviest of meals.

INFLUENZA A scientist in Spain has proven that honey contains a natural ingredient, which kills influenza germs.

• LONGEVITY

Tea made with honey and cinnamon powder, when taken regularly, arrests the ravages of old age. Take 4 spoons of honey, 1 spoon of cinnamon powder and 3 cups of water and boil as if making tea. Drink 1/4cup, 3 to 4 times a day. It keeps the skin fresh and soft and arrests old age. Life spans also increases and even a 100 year old, starts performing the chores of a 20-year-old.

• PIMPLES

Make a paste from three tablespoons of honey and one teaspoon of cinnamon powder. Apply this paste on the pimples before sleep and wash it off the next morning with warm water. If applied daily for two weeks, the paste can remove pimples.

• SKIN INFECTIONS

Applying honey and cinnamon powder in equal parts on the affected parts can cure eczema, ringworm and all types of skin infections.

• WEIGHT LOSS

Drink daily in the morning on an empty stomach, 1/2 hour before breakfast and at night before sleeping, a honey and cinnamon powder mixture boiled in one cup of water. If taken regularly, it is said to reduce the weight of even the most obese person. Also by drinking this mixture regularly, fat does not accumulate in the body even though the person maybe eating a high calorie diet.

• CANCER

Recent research in Japan and Australia has reveled that advanced cancer of the stomach and bones have been cured successfully. Patients suffering from these kinds of cancer should take one tablespoon of honey with one teaspoon of cinnamon powder, 3 times a day for one month.

• FATIGUE

Recent studies have shown that the sugar content of honey is more helpful than detrimental to the strength of the body. Senior citizens, who take honey and cinnamon power in equal parts, are more alert and flexible. Half a tablespoon of honey stirred into in a glass of water and sprinkled with cinnamon powder, taken daily n the afternoon at about 3.00PM when the vitality of the body starts to decrease, can help the body to have more vitality within a week.

• BAD BREATH

In order to maintain fresh breath throughout the day, the people of South America, gargle with one teaspoon of honey and cinnamon powder mixed in hot water first thing upon awakening.

• HEARING LOSS

Taken daily, morning and evening, honey and cinnamon powder taken in equal parts can restore hearing.