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An eye opener on Heart Disease that should be rare & cured.

It is still the number one killer even greater than cancer in both men and women today.  This disease should be rare do to a lot of cardiac disease is inflicted upon humans through being overweight through just bad healthy habits practiced.  Obesity can cause diabetes II, heart disease, high blood pressure, and more.  High blood pressure is called the “silent killer” because it often has no warning signs or symptoms, and many people don’t realize they have it. That’s why it’s important to get your blood pressure checked regularly.  The good news is that you can take steps to prevent high blood pressure, or to treat it if it is already high.

What we can do is make some changes in our living.  We westerners create an increase in diabetes, heart disease and some cancers.  AMERICA WE NEED TO WAKE UP AND MAKE A CHANGE.  TO THE MAIN CULPRITES we are talking about sugars and fat (OUR DIET).  GLUCOSE and LIPIDS!.  The typical American diet is consisted and loaded with sugar and fats.  Lack of exercise and stress doesn’t help the situation.  Get peace of mind through again making changes in your life if you are striving to become healthier.  Let’s look at cholesterol = 2 types HDL and LDL.  LDL is the bad cholesterol.  Know if your LDL is type A or type B.  If you have a high HDL level and a low LDL that is good but ask your doctor to see if you can get a blood test checking both type A and type B of your cholesterol that will give you the knowledge if you need to take an action.  Go to CDC.org to see the different number ranges of both men and women on their levels and more.  Just knowing your cholesterol level isn’t enough but does give the doctor some direction.  Knowing if your type A or type B LDL helps even more with knowing your risk of heart disease. 

Cholesterol only becomes a problem if the LDL gets too high with high pattern type B which is worse with stress and smoking and processed foods in high amounts eaten. Particles called lipoproteins carry cholesterol in the blood. There are two kinds of lipoproteins you need to know about: LDL and HDL. The plasma lipoprotein particles classified under high-density (HDL) and low-density (LDL) lipoproteins enable fats to be carried in the blood stream. 

-Low-density lipoproteins (LDL) cholesterol make up the majority of the body’s cholesterol. LDL is known as “bad” cholesterol because having high levels can lead to a buildup in the arteries and result in heart disease.

-High-density lipoproteins (HDL) cholesterol absorb cholesterol and carry it back to the liver, which flushes it from the body. High levels of HDL, or “good” cholesterol, reduce the risk of heart disease and stroke.

Apolipoprotein A1 (apoA1) is the major protein of high-density lipoprotein (HDL), and apoB is among the major proteins of very low-, low- (LDL), and intermediate-density lipoproteins. Because of their associations with the respective lipoproteins, apoA1 is inversely and apoB is positively associated with cardiovascular risk (2). In fact, evidence suggests that apoA1 and apoB are better predictors of heart disease risk than are HDL and LDL cholesterol levels (3-5). Apolipoproteins may also offer advantages over lipoprotein cholesterol measurements because they are direct measurements, whereas LDL, for example, is calculated from other lipoproteins from a fasting blood sample.

 You can take several steps to maintain a normal cholesterol level.

  • Get a blood test.
  • Eat a healthy diet.
  • Maintain a healthy weight.
  • Exercise regularly.
  • Don’t smoke.
  • Treat high cholesterol.

Heart disease what is it?  Your arteries can get stretched in high blood pressure and it puts the arteries at risk for an auto immune response which allows LDL particles to go in these stretched out areas causing build up of bad cholesterol in the arteries and imbeds fat causing the placque build up = narrowing of the arteries. 

We need to reduce inflammation in the arteries.  To prevent, reduce, and treat heart disease if already diagnosed with.  Reduce all sugars, cut back on fatty foods, exercise daily, increase of your whole grains, fresh fruits, and vegetables.   We need to use all 4 food groups but eat the healthy ones in the right portions.  Which I can provide to you later how to go about this.

In the United States, the most common type of heart disease is coronary artery disease (CAD), which leads many to heart attacks. You can greatly reduce your risk for CAD through lifestyle changes and, in some cases, medication. CAD consists of cholesterol and placque build up, even tar if a smoker,  that can be deadly in time with blocking the arteries called atherosclerosis.  This in time left untreated can lead to a heart attack or even silent heart attack.  CAD also is the brittling of the arteries causing narrowing of the arteries called arteriosclerosis.  Here it is the ending result is the blood supply is affected in not getting enough oxygen throughout our body to our tissues.

Coronary artery disease can cause a heart attack. If you have a heart attack, you are more likely to survive if you know the signs and symptoms, call 9-1-1 immediately, and get to a hospital quickly. People who have had a heart attack can also reduce the risk of future heart attacks or strokes by making lifestyle changes and taking medication.   Don’t put off the chest pain or discomfort in the chest or pain down the L arm for if your right you want to prevent the heart attack before it occurs and if you already had an attack the sooner treated the better.  Reperfusion of blood to the heart is the KEY in treatment.  Chest pain to the heart is lack of oxygen getting to the heart tissue=ischemia.  We alone can’t treat it but we can prevent it before CAD even sets in through good health practices daily, healthy dieting daily and balancing rest with exercise daily.                                              

Look at our diet alone in America:  Take the elements that are in our food=Sugars or Carbohydrates or Fats.  Simple CHO likes bread, rice, pasta along with fats and complex sugars all convert to simple sugars in the stomach and when it goes through digestion and the simple sugar reaches the blood stream filling it up with sugar which first does get utilized to our tissues and cells but if still extra sugar in the blood stream that sugar has to go somewhere which is by filling up the liver with it.  In the liver the glucose gets converted from active sugar=glucose to glycogen=inactive sugar that stores in this organ.  This is so if and when the body needs extra sugar for energy in our body and we don’t eat the inactive glucose glycogen will get released back into the blood stream and change to glucose and be used.  Since we eat so much in America it usually isn’t the case.  Obesity is so large in our country and this is why.   When it reaches full and can’t store anymore still this glucose extra glucose in the blood stream has to go somewhere.  So now the glucose gets stored in our fatty tissue=weight gain.  This is what you see with eating through on a regular basis day in & day out too much food compared to the activity or exercise you get for the day.  If no daily exercise then your  fat storage build up is high=weight gain.

How do we go about preventing CAD and getting healther.  Well see if this makes sense to you, it did to me.  First, genetic abnormalities contribute to the risk for certain types of heart disease, which in turn may lead to heart failure.  However, in most instances, a specific genetic link to heart failure has not been identified.  SO THE KEY TO PREVENTION OF CAD IS TO LIVE AS HEALTHY AS POSSIBLE IN YOUR ROUTINE HABITS,  YOUR DIETING OF THE 4 FOOD GROUPS, MAINTAINING YOUR WEIGHT IN A THEREPEUTIC RANGE (look as calculating BMI online for free to find out what your weight range for your height is), and BALANCING REST WITH EXERCISE TO HELP DECREASE THE CHANCE OF GETTING HEART FAILURE.  Go to healthyusa.tsfl.com to learn what Dr. Anderson through his book of “Dr. A.’s Healthy Habits” and me as your health coach could provide you within a reachable cost.  To just view what can be offered to you for no price with no hacking go to healthyusa.tsfl.com and take a peek.  You may just like what you see;)

Quote for Wednesday

People who care about animals tend to care about people. They don’t care about animals to the exclusion of people. Caring is not a finite resource and, even more than that, it’s like a muscle: the more you exercise it, the stronger it gets.

 
Jonathan Safran Foer (born February 21, 1977) is a writer. nonfiction titled Eating Animals While Foer’s works have been released to 21 KB (3,107 words) – 02:35, 23 September 2013)

HOW TO KEEP A HEALTHY MUSCULAR SYSTEM & WHY Part 2

The sooner you get in a regular plan of doing a exercise routine program the easier it will be as you grow older.  By staying active always in your years of living you will continue to be muscle toned and build new muscles as well as keep your muscular system happy and healthy with not allowing it to become atone (loose in tonicity of the muscle=little strength if any).   So you don’t have to be 15 or 20 or 30 or 40 years old to start this.  The longer you hold off on some form of exercise (mild to moderate to intense) the longer it takes to tolerate it and adapt to this being a part of your daily living.  Like anything else for most; it may not be easy at first but in time whatever exercise you choose 3x, 5x, or even daily the sooner you will love it and want it in your life.  It can range from belly dancing, to gym workouts, to fast walking, to racquetball, to swimming or hiking.   Anything beats sitting most of the day or sitting behind a desk for work hours than coming home for dinner followed by TV than sleep.                                                                                                                            

According to the American College of Sports Medicine, most individuals should be doing moderate aerobic activity four or more days a week for at least 30 minutes at a time. Aerobic exercise can be defined as that which engages your heart and lungs, so a leisurely walk won’t do it. Keeping your muscles healthy aerobically should also be fun and can be done with others. Hiking is a great example of such an enjoyable activity since walking hills force both big and small muscles to optimally utilize oxygen.

It is much easier than you think.   If you are overweight think about getting into your therapeutic body mass index of weight that can take 6 months to even less or for some take a year up to two years.  Whatever time it takes to get in your therapeutic range it’s worth the while in getting yourself at a weight that allows you to start exercising=being active.  When you reach that point in life it allows you to do so much more with your life than sit on the side lines but instead play on the field with a big view of more enjoyment and activity.  Anyone can do it; you just need to have the power and perseverance.  The ending results are worth it for one person only, YOU but it will give people around you a positive impact as well.  If you have a condition that doesn’t allow you to do the types of activity that I mentioned earlier there is always home remedies from treadmills, using dumb bells in light weight lifting (2.5lbs. to 20lb.), sit ups, just walking around the yard or block or using the pool you may have doing laps.    You can figure it out with the help of asking your doctor (For people with any disease/illness or condition it is recommended to go to the physician first to get clearance in getting activities that you’re allowed to do).  Always a health fitness coach could give direction but not replace a doctor for clearance in activity).

The foods that will help your muscular system in staying healthy:  Eating well on a consistent basis is also essential in maintaining healthy muscles.  The National Institute of Heath recommends you should eat 6 small meals a day.  All meals being at the same level of calories, carbohydrates, protein, fat, and sugars (fairly low) excluding your one meal out of the 6 meals being high in protein (lean meats and more green vegetables primarily.  These meals are 3 hours apart. By doing this you keep your sugar level at a steady rate (no peaks in sugar level).  Keeping your glucose (sugar) level steady you prevent fat storage occurring. When we have too much sugar left in the bloodstream, that we got after digestion of a meal, first we use up any sugar that was transferred into our bloodstream as fuel but by absorbing it into our tissues for the energy but when we have used all the sugar we needed at that point and still have extra glucose (due to a large meal) the extra sugar in the blood gets stored somewhere in the body equaling fat storage that equals weight gain.  Eat 2 or 3 moderate to large meals a day you’ll always run into this problem (extra sugar being stored in your body).  To prevent this from happening you eat 6 small healthy meals a day which are lower in calories, carbs, fat and sugars including the portions, that’s the logic.  Know that all carbohydrates, all sugars (calories) with certain fats when entering the stomach after eating break down into further simple or complex sugars. Than they transfer into the bloodstream when digestion is done in the stomach=more sugar than just the amount that is present on the back of the container, regarding the food that you’re eating at that time.  The 6 healthy meals a day are not saying 6 big macs or small whoppers.  I am talking about healthy foods eaten by the 4 food groups.  In making your muscles healthier begin to make better choices with each meal.  Seek to replace saturated fats and refined sugars with healthy fish (high protein) but not daily (have it 2 to 3 times a week) and fiber based foods (daily).  Other suggestions include eating your first meal of the day within 30 minutes after waking up.  Lastly and very important drink water (at least eight glasses a day or if possible 2 to 3 liters a day).  Drinking this much helps your muscles in doing their function better, they move easier (think of the fluid helping the muscle in not drying out which allows the muscle to function better in range of motion). 

Health habits are important. Unhealthy habits that have that an impact on your muscles is:

-Stress, which can be brutal for your entire body systems including your muscular system.  Having emotional stress places an inordinate amount of demand on your muscles.                                                                                                                                                                          WAYS TO CONQUER STRESS: is relaxation therapy (ex. Next time you have an emotional stress (angry to sad) focus and sit back with take 10 deep breaths, tired after work go to bed earlier about ½ hr. to an hour and play soft music to fall off to sleep, still not working than do EXERCISE-it tires your stress and eat healthy foods not junk).

-Poor diet:  TO CONQUER POOR DIET: build muscle and lose fat, you need a variety of proteins, veggies, fruits, carbs, and healthy fats properly portioned for your meals.  Eating a protein helps build and maintain your muscles.  It also helps fat loss because protein has a higher thermic effect than carbohydrates or fats.

There is not just one food to eat or one type of exercise to do or one healthy habit to perform that will keep you healthy, there are choices.  Come onto my website which is no fee, no charge, no hacking, it will just let you check us out to look further in understanding how to take a shape for your life with Dr. Anderson and even myself as your health coach in helping you learn what a healthier diet is using with all 4 food groups in 6 meals, with knowing the exercise right for you and what healthier habits are for a better muscular system and overall life.   It allows you to make all the decisions in what you want to do regarding what to eat (diet), exercise/activity, and what healthy habits you want to add in your life.  We just provide the information and healthy foods in your diet and you decide if you want them.  I happen to eat them 5 times out of the day with one meal being my meat or fish (high protein) and vegetable (lean and green).  You make all the choices, like I do.  Wouldn’t you want to be stronger, more active, with less disease/illness for yourself and for even others throughout the nation including the future generations?  Well than click on over to healthyusa.tsfl.com and take a look with what Dr. Anderson and myself can provide for you.  I have been in the health care system over 25 years as a Registered Nurse and I know you or anyone will benefit from this information (I lost over 20lbs. so far).  Take a peek and see what healthyusa.tsfl.com can give you and to check it out doesn’t cost a penny. Continue reading

QUOTE FOR TUESDAY:

HOW TO KEEP A HEALTHY MUSCULAR SYSTEM & WHY Part 1

To understand how this system and health relate you need to understand how it works in the body.  What is the muscular system?  It is a body system composed of a network of tissues (cartilages, ligaments, tendons, fascias, joints, etc…) that allows the human body to control movement inside and outside of it.  As simple as walking to exercise to activities we do from within the body to survive (Ex. heart beating, lungs breathing, veins returning blood to the heart from the legs=activities we don’t focus or concentrate on when awake or asleep.).  Our muscles are divided into groups:

1-Skeletal Muscle:   Found in the skeletal system and provides controlled movement.  It maintains body movement from our head to our toes=jaw movement, poster, producing heat in the body to simply speaking while you’re standing and so much more.  You get the idea that this system plays a vital role in many functions we carry out daily but a lot of times we take this  for granted since we use the skeletal muscle for our daily routine functioning that is both voluntary and involuntary.

2-Visceral Smooth Muscle:  Found in the digestive tract, urinary tract, and blood vessels; contractions not under voluntary control.

3-Cardiac Muscle: Found only in the heart; contractions not under voluntary control.

Skeletal muscles are organs and do vary in size and shape from long and thin, broad and flat, to bulky masses and some not.

The skeletal muscle is highly vascular.  Muscle fatigue and pain result when there is insufficient oxygen delivered to the muscle.  Oxygen is the fuel to the human body in making it possible for us to function and survive; without it we can’t live.

You see how important this system is and we need to keep it healthy.  Keep your muscular system healthy as a priority in your daily life.  By doing this you will not only improve your quality of life, overall, but you will also begin to focus more easily on enjoying what’s truly important in your life.  With staying healthy in your life it will increase the risk of you living longer and a more productive one.  Prevention of injury to the muscular system and all the systems of the body is the answer to happiness, so start now and the younger the easier and better are the results.

How can you do this, well there are 3 main factors that would highly impact reaching a healthy or healthier muscular system and it’s NEVER too late to get started.  They would be:

1-DIET  2-EXERCISE  3-ROUTINELY PRACTICING HEALTHY HABITS

At first it may seem like a challenge but when it gets in your regular routine of daily living it’s a BREEZE.  I can say that because I made changes to a degree with better healthier living.  If I can do it so can you.  It really isn’t that difficult.  Let me first inform you what happens to the muscular system as we get older.  We become more inactive from our younger years (meaning sedentary lifestyle with no form of activity) and we are more prone to practice poor healthy habits (including what’s in your diet and how you eat).  The reason for this is we are no longer in high school with a higher metabolism or in college as well but working crazy hours on the run with the family and don’t have the time like we did but you end up with the following: 

 As we get older the tissue that comprises everyone’s muscular system decreases in size and relative strength.  When muscle fibers die they are replaced by FATTY TISSUEThis makes the movement of muscles more difficult. 

You want to know if this can be prevented?  Well YES, it can!  So you don’t have to be 15 or 20 or 30 or 40 years old to start this.  The longer you hold off on some form of exercise (mild to moderate to intense) the longer it takes to tolerate it and adapt to this being a part of your daily living.  Like anything else for most; it may not be easy at first but in time whatever exercise you choose 3x, 5x, or even daily the sooner you will love it and want it in your life.  It can range from belly dancing, to gym workouts, to fast walking, to racquetball, to swimming or hiking.   Anything beats sitting most of the day or sitting behind a desk for work hours than coming home for dinner followed by TV than sleep.                                                                                                                           

  According to the American College of Sports Medicine, most individuals should be doing moderate aerobic activity four or more days a week for at least 30 minutes at a time. Aerobic exercise can be defined as that which engages your heart and lungs, so a leisurely walk won’t do it. Keeping your muscles healthy aerobically should also be fun and can be done with others. Hiking is a great example of such an enjoyable activity since walking hills force both big and small muscles to optimally utilize oxygen.It is much easier than you think.  Turn into Part 2 tomorrow!  See you then.  

TAKE CONTROL OF YOUR DIABETES PART 2:

If you haven’t seen Part 1 go to my Oct. 17 article to read it.

Diabetes is becoming more common in the United States.   From 1980 through 2011, the number of Americans with diagnosed diabetes has more than tripled (from 5.6 million to 20.9 million).

 

DIABETES: The Signs & Symptom and How to control the them:

The signs and symptoms of Diabetes 1 or 2 with hyperglycemia (HIGH GLUCOSE LEVELS):

THINK OF THE 3 P’s=

1.)Polyuria-a lot of urinating due to your body trying to void out of the body excess glucose in your urine.  This causes the next symptom due to your voiding a lot of urine which causes your body to lose fluid and in return you become very thirsty with hungry.  This gives you:

2.)Polydipsia= very thirsty

3.)Polyphagia=very hungry

This should be a red light for a diabetic with these one or all 3 symptoms to finger stick themselves.   See where your glucose level is at and if over 200 this is why you have one or all of the “P” symptoms (listed above).

Other s/s of Diabetes consist of:

–  Tingling / Numbness in the hands and feet (diabetic neuropathy)

-Very tired and fatigued

-Weight Loss (more common to see in Diabetes 1)

-Blurred Vision.

-Sores that do not heal; and if not healed, this can cause in time a severe condition.

Complications that can come about due to DIABETES:

Dental Disease – Diabetes can lead to problems with teeth and gums, called gingivitis and periodontitis.

Heart Disease – People with diabetes have a higher risk for heart attack and stroke.

Eye Complications – People with diabetes have a higher risk of blindness and other vision problems.

Kidney Disease – Diabetes can damage the kidneys and may lead to kidney failure.

Nerve Damage (neuropathy) – Diabetes can cause damage to the nerves that run through the body.

Foot Problems – Nerve damage, infections of the feet, and problems with blood flow to the feet can be caused by diabetes.

Skin Complications – Diabetes can cause skin problems, such as infections, sores, and itching. Skin problems are sometimes a first sign that someone has diabetes.  Sores that cannot heal due to constant high glucose in the body can lead into a severe condition=AMPUTATION of the foot or leg.

**.  (At least 15 % of all people with diabetes eventually have a foot ulcer, and 6 out of every 1000 people with Diabetes have an AMPUTATION.  Possibly first surgery with bypassing the blood can resolve the problem 100% or like many only temporary.  It is based on your other medical history with how brittle the diabetes and how compliant you are in taking care of yourself with diabetes.*** 

All these complications are effected by hyperglycemia and in playing a part in the blood circulation of our body.  Ending line the person is getting bad oxygenated blood supply sent to the lower extremities when the glucose is poorly controlled over a long time.  Based on the principle of gravity; what happens here is the heart pumps our blood throughout our body and when it gets difficult for the organ to do its job due to thick high glucose blood than it has to compensate at some point.  Simply a narrowing to a blockage is occurring in that lower extremity and the reason for this is it’s the furthest area from the heart=FEET/LEGS.  This is why you never see or rarely see a diabetic having an arm amputated due to hyperglycemia.

This can be caused by just thick high glucose blood flowing throughout the body making it difficult for the heart to pump as effectively as opposed to someone that doesn’t have hyperglycemia which over time leads to further complications (listed above).

Diabetes with constant high glucose blood levels can leaded into poor circulation causes the feet and lower leg to first become cool to cold to changing colors of pale to cyanotic (purple) which takes over weeks to months to years, depending on the patient.  Then the tissue gets necrotic (black=dead tissue) and an amputation has to be done to save the person or else this will get infected locally, at first, going into a systemic infection causing the person to go into septicemia and expire.

HOW we can decrease the risk of complications and decrease the chance of diabetes worsening or KEEP IT UNDER CONTROL = PRACTICING VERY GOOD MANAGEMENT IN CARING FOR YOUR DIABETES.

 

This is how you can reach this goal:

-Controlling your blood glucose, blood pressure, and cholesterol can make a huge difference in staying healthy.  Talk with your doctor about what your goals should be and how to reach them but make sure you are given information on paper or write down what it is you have discussed in the doctor’s office based on your care for diabetes and what to do.  Usually diabetic information on paper is available and given to you. 

To reach this know the following:

-Your healthy eating plan that you and your doctor with a dietician have discussed.

-Overweight? Than diet down to your therapeutic weight range for your height after discussed with by you with your doctor.

-Be physically active for 30 to 60 minutes most days but if this is new get your doctor to clear this activity for you with what kind of activity you are allowed and not allowed.

-Take your medicines as directed and keep taking them even after you’ve reached your goals; or you will be at high risk of ending up the way you were earlier=Diabetes badly controlled with running into the problems you had earlier.

-If you smoke=QUIT.

-Check your skin daily in particular the FEET and LOWER LEGS to check for redness, swelling to blisters, sores and sore toenails

-Ask your doctor if you should be taking aspirin to prevent a heart attack or stroke by making the blood less thick to thinner making it easier for the heart to pump and less stress to the organ.

-Need assistance like others have needed?  Here it is; knowing how to surviveee with Diabetes 1 or 2 and that is to reach the best goal you can in treating it: 

The key is to controlling your DIABETES is to be living a healthy life!  This consists of diet, exercise or activity and healthy habits learned and practiced routinely in your life that will help prevent or assist in treating diabetic disease.  The better we treat ourselves regarding health the higher the odds we will live a longer and healthier life.  There is not just one food to eat or one type of exercise to do or one healthy habit to practice in order to keep you healthy, there’s choices.  Come onto my website which is no fee, no charge, no hacking, just letting you check us out to look further in understanding how to take a shape for your life with Dr. Anderson and even myself as your health coach in helping you learn what healthier habits or changes you want for a healthier way of living, learn how to eat out of the 4 food groups still following your diabetic diet as ordered by your MD. It allows you to make all the decisions in what you want to do regarding what to eat (diet), exercise/activity, and what healthy habits you want to add in your life.  We just provide the information and healthy foods in your diet, if you decide you want it.  You make all the choices.

 

Wouldn’t you want less disease/illness for yourself, for your family, others significant to you and even throughout the nation including our future generations.  Wouldn’t it be great to see Diabetes decrease in America for future years and giving us an ending result of higher probability that we would overall a healthier country with less disease.  If that included Diabetes what an impact it would play in decreasing other diseases alone caused just by Diabetes.

I’m not a diabetic but eating overall healthy and in my diet range (barely) but there and increasing my activity.  Do yourself and maybe others a favor by going to my website.   Click onto heathyusa.tsfl.com and join me like so many others in tring to reach this goal.  I hope to hear from you soon.  Take a peek;) it doesn’t cost you a dime.  You may just like what you see. 

 

REFERENCES for Part 1 and Part 2 :

 

       1.)Center for Disease (CDC) – “National Diabetes Fact Sheet”

       2.)NYS Dept. of Health –Diabetes

       3.)Diabetic Neuropathy.org   “All about diabetic neuropathy and nerve damage caused by Diabetes.”

Copyright 2002 – 2013.

        4.)NIDDK  “National Institute of Diabetes and Digestive and Kidney Diseases”

 

  1. National Diabetes Information Clearinghouse (NIDC) – U.S. Department of Health and Human Services.  “Preventing Diabetes Problems: What you need to know”

 

 

 

QUOTE FOR THE WEEKEND

Andrew Weil (Medical Doctor; natural health guru)
 PART II of TAKING CONTROL OF DIABETES CHECK OUT ON MONDAY!!