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Shortages Looming for Respirators, Masks, Gowns  - web md

Shortages Looming for Respirators, Masks, Gowns

Only about 12% of facilities have been able to get supplemental PPE from federal resources, compared with 25% that have drawn from local donations and 17% from do-it-yourself efforts to cobble together masks and gowns, results show. State and local governments have supplied PPE to 29% of facilities surveyed.
web md - 21 hours ago
How Three Countries Have Kept COVID-19 In Check  - web md

How Three Countries Have Kept COVID-19 In Check

Although the United States missed its chance to head off a COVID-19 epidemic, and is well on its way to becoming the pandemic's new epicenter, these lessons drawn from other countries could still be used to help manage infections in the months and years ahead, Adalja and Kullar said.
web md - 21 hours ago
U.S. Hospital Beds Were Maxed Out Before Pandemic  - web md

U.S. Hospital Beds Were Maxed Out Before Pandemic

At Elmhurst Hospital Center, a 545-bed public hospital, doctors and nurses have only a few dozen ventilators for their patients, some of whom have died while waiting for a bed. A refrigerated truck has been stationed outside the hospital to hold the dead, the newspaper reported.
web md - 23 hours ago
COVID-19: Dramatic Changes to Telepsychiatry Rules and Regs  - web md

COVID-19: Dramatic Changes to Telepsychiatry Rules and Regs

In the wake of drastic rule changes governing telemental health services during the COVID-19 outbreak, experts give the most up-to-date information on how to best navigate this ever-changing landscape.
web md - 23 hours ago
Keep Calm: Under 25s With Diabetes Not Hospitalized Due to COVID-19  - web md

Keep Calm: Under 25s With Diabetes Not Hospitalized Due to COVID-19

Reassuringly, COVID-19 in under 25s with diabetes doesn't seem to require hospitalization, early reports from global hotspots indicate. But the pandemic means new cases of type 1 diabetes are being missed.
web md - 1 day ago
Livestock, Poultry Safe From Coronavirus: Expert  - web md

Livestock, Poultry Safe From Coronavirus: Expert

The low level of risk to livestock and poultry is good news for U.S. livestock producers, meat packers and consumers, who could use some stability as uncertainty about the coronavirus restricts many normal daily activities, Roth noted.
web md - 1 day ago
Severe COVID-19 Might Injure the Heart  - web md

Severe COVID-19 Might Injure the Heart

Doctors in China have already warned that heart injuries appear common in COVID-19 patients, particularly those with existing heart disease or high blood pressure. A recent, smaller study found that 12% of hospitalized patients had the complication.
web md - 1 day ago
Social Distancing May Be Working, New Study Hints  - web md

Social Distancing May Be Working, New Study Hints

Data show that the number of people with fever that's an early indication of coronavirus infection started falling almost immediately after social distancing measures took effect in some areas, USA Today reported.
web md - 2 days ago
Critics Lead Gilead to Drop Coronavirus Drug Status  - web md

Critics Lead Gilead to Drop Coronavirus Drug Status

Gilead asked the U.S. Food and Drug Administration to designate remdesivir a so-called orphan drug, saying it qualified as a rare disease because fewer than 200,000 Americans are infected with the coronavirus.
web md - 2 days ago
Young People Far From Immune to Coronavirus

Young People Far From Immune to Coronavirus' Bite

The data from China showed that older people were more likely to die. But Americans may have misunderstood the data that initially came out of China: that older people were most affected and younger ones were safe.
web md - 2 days ago
Wuhan Study Shows Social Distancing Saves Lives  - web md

Wuhan Study Shows Social Distancing Saves Lives

The closures significantly delayed the peak of the epidemic in Wuhan -- the epicenter of the worldwide pandemic -- and gave the health system the time and opportunity to grow and respond to the crisis, according to the study authors.
web md - 2 days ago
Commentary: What If There Is a Virtual ACC and Nobody Cares?  - web md

Commentary: What If There Is a Virtual ACC and Nobody Cares?

It seems tone-deaf to discuss science-that-can-wait while colleagues across the world fight this challenge, writes John Mandrola, MD, of the upcoming virtual American College of Cardiology Scientific Sessions.
web md - 2 days ago
Expert: Coronavirus Isn

Expert: Coronavirus Isn't 'Alive,' But Still Harms

"A virus usually enters the cell through a protein our cells have on their surface. COVID-19 -- and SARS [severe acute respiratory syndrome] before that -- use a protein called ACE2, which is on the surface of the cells in our lung, throat and intestinal tract,"  Mendenhall said.
web md - 2 days ago
ICU Lessons on COVID-19 From Italian Front Line: Be Flexible  - web md

ICU Lessons on COVID-19 From Italian Front Line: Be Flexible

The rate of increase in patients needing ICU beds in areas badly affected by COVID-19 can double every 3 to 5 days for over a month, with patients staying an average of 15 days; flexibility is imperative.
web md - 2 days ago
Social Distancing May Need to Last Months: Study  - web md

Social Distancing May Need to Last Months: Study

As painful as the last 9 days of social distancing have been, disease modelers think Americans may need to be at home much longer to truly “flatten the curve” of the COVID-19 infection and avoid overwhelming the critical care capacity of U.S. hospitals, a new study says.
web md - 2 days ago
COVID-19 May Delay Some Cancer Treatments  - web md

COVID-19 May Delay Some Cancer Treatments

It's long been understood that cancer, as well as its therapies, have the unfortunate side effect of weakening a patient's immune system. That can leave a patient more vulnerable to infectious illness, including COVID-19.
web md - 2 days ago
Could Robots Be Deployed in Battle With COVID-19?  - web md

Could Robots Be Deployed in Battle With COVID-19?

"Opportunities lie in intelligent navigation and detection of high-risk, high-touch areas, combined with other preventative measures," the authors said in a university news release. "New generations of large, small, micro- and swarm robots that are able to continuously work and clean [i.e., not only removing dust but also truly sanitizing/sterilizing all surfaces] could be developed."
web md - 2 days ago
Are Vital Home Health Workers Now A Safety Threat?  - web md

Are Vital Home Health Workers Now A Safety Threat?

Hundreds of thousands of health care workers go into homes to provide important services for seniors and disabled people. But with the rising concerns about the danger of the coronavirus pandemic, especially for older people, these health workers could be endangering their patients and themselves.
web md - 2 days ago
Coronavirus (COVID-19)  - web md

Coronavirus (COVID-19)

The virus that causes COVID-19 is a new (novel) strain of coronavirus called SARS-CoV-2. It causes mild flu-like symptoms, but severe cases can be fatal. Learn how to spot symptoms, prevent spreading of the disease, and find out what to do if you think you have it.
web md - 3 days ago
What People With Parkinson

What People With Parkinson's Need to Know About COVID-19

"People living with Parkinson's disease are at high risk if they contract COVID-19, whether they are above age 50 or if they have young-onset Parkinson's disease, which occurs in people younger than 50," said Dr. Frederick Southwick, an infectious disease expert at the University of Florida in Gainesville.
web md - 3 days ago
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harvard
Good news for those with type 2 diabetes: Healthy lifestyle matters

Good news for those with type 2 diabetes: Healthy lifestyle matters

harvard - 1 month ago

Type 2 diabetes (T2D) is a metabolic disorder of insulin resistance a reduced sensitivity to the action of insulin which leads to high blood sugar, or hyperglycemia. Approximately 12% of American adults have T2D, and more than one-third of Americans have prediabetes, a precursor to T2D. This is a major public health concern, as T2D dramatically increases risk for heart disease, including heart attacks, atrial fibrillation, and heart failure.

The development and progression of T2D is affected by many factors. Some, such as a persons race/ethnicity, age, and gender cannot be modified. Others, including body weight, exercise, and diet can be changed.

Can lifestyle changes help reduce heart disease risk if you have diabetes?

In 2010, the American Heart Association (AHA) published Lifes Simple 7, which they defined as seven risk factors that people can improve through lifestyle changes to help achieve ideal cardiovascular health. The Simple 7 touched on smoking status, physical activity, ideal body weight, intake of fresh fruits and vegetables, blood sugar, cholesterol levels, and blood pressure.

Subsequent studies found that people in optimal ranges for each of these factors had lower risks of heart disease compared to people in poor ranges. But given the significant increase in heart disease risk in those with T2D, it was not clear if the impact of these modifiable factors would hold true for the T2D population.

Recent study suggests lifestyle changes do benefit T2D and prediabetes

A recent study published in JAMA Cardiology looked at whether the ideal cardiovascular (CV) metrics covered in Lifes Simple 7 translate into improved CV health for those with T2D or prediabetes. The results were exciting, and consistent with other large population-based studies. Patients who had five or more ideal CV measures had no excess of CV events compared with people with normal blood sugar levels. CV events measured in the study included death, heart attack, stroke, and heart failure. Each additional ideal health metric was associated with an additional 18% drop in CV event risk for people with T2D, and an additional 15% drop for those with prediabetes.

This was a prospective, observational study, examining the association of risk factors only. It was not a randomized trial looking at an intervention. As a result, we cannot draw conclusions about cause and effect. Nonetheless, this is the first study to show a positive association between ideal lifestyle factors and CV health in people who are at high risk for CVD due to T2D. These results showcase the importance of our lifestyle choices, suggesting that meeting ideal health metrics can help reduce risk of CV events.

Lifes Simple 7

So what are the lifestyle and metabolic health goals should you strive for, whether or not you have diabetes?

  1. Manage blood pressure. 120/80 mm Hg or lower is best.
  2. Control cholesterol. Aim for total cholesterol below 200 mg/dL.
  3. Reduce blood sugar. Get your HbA1c (an average measure of blood sugar over the past three months) under 5.7% if you have prediabetes, or below 6.5% if you have T2D.
  4. Get active. Your goal is 150 minutes per week of moderate-intensity activity or 75 minutes per week of vigorous activity.
  5. Eat better. That means at least 4.5 cups of fruits and vegetables per day.
  6. Lose weight. You want a body mass index (BMI) of less than 25.
  7. Stop smoking. Youll reap CV benefits, not to mention lowering your risk for cancer, COPD, and much more.

The post Good news for those with type 2 diabetes: Healthy lifestyle matters appeared first on Harvard Health Blog.

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