Diabetes
Newsletter spices up recipes
for diabetics - for
information about foods,
recipes, and dinner menus for
diabetics go to -
www.bhg.com/members.
Diabetes
- Many Latinos/Hispanics
suffer from this dreaded
disease (one out of every 5).
This disease can have a
crippling affect on the eyes,
heart, an major limbs of the
body if not taken care off.
I've have seen many cases
where good people's lives have
been turned-around because of
this. We take our health
for granted until something
like this happens to us.
For more information call the
American Diabetes Association
at 1 800 DIABETES (342 2383) -
hablan Espanol.
Diabetes
mellitus is the nation's
seventh-leading killer,
contributing to about 200,000
deaths a year. The
number of people diagnosed
with diabetes has increased
sixfold in the last 40 years.
It is
the leading cause of adult
blindness, end-stage kidney
failure and nontraumatic lower
limb amputations. It
also is a major contributor to
heart disease and stroke.
Diabetes
is caused by a deficiency of
the hormone insulin, which
"unlocks" cells in the body,
allowing sugar to enter and
fuel them. There are two
types:
Type
1 diabetes
An estimated 1 million
Americans have Type 1
diabetes, formerly known as
juvenile diabetes, an
auto-immune disorder.
The immune system attacks
insulin-producing cells of the
pancreas, gradually reducing
the amount of insulin the body
makes.
Who is
at risk: Siblings and
children of people with Type 1
diabetes.
When it develops:
Typically diagnosed in people
under 20.
Warning signs: Frequent
urination, unusual thirst,
extreme hunger, unusual weight
loss, extreme fatigue,
irritability.
Treatment: Requires
insulin injections and
management of diet and
exercise.
Type 2 diabetes
A
metabolic disorder resulting
from the body's inability to
make enough insulin or to
properly use it. An
estimated 15 million people
have Type 2 diabetes, once
known as adult-onset diabetes.
Who is at risk: People
who have a family history of
diabetes, are over 45,
overweight, don't exercise
regularly, have low HDL
cholesterol or high
triglycerides, certain racial
and ethnic groups (African
Americans, Hispanics, Asians,
American Indians), women who
have had gestational diabetes.
When it develops: Generally in
people over 40. It is
showing up increasingly in
younger populations.
Warning signs: Any of
the Type 1 symptoms, plus
frequent infections, blurred
vision, cuts or bruises that
are slow to heal, tingling or
numbness in the hands or feet,
or recurring skin, gum or
bladder infections. Often
there are no symptoms.
Treatment: The disease
can be managed with one or a
combination of insulin
injections, oral medications,
or diet and exercise.
Diabetes: Bigger risk for
obese children?
A Finnish
study suggested that
overweight children were more
likely to develop Type 1.
Doctors
know that overweight children
are at greater risk for
developing Type 2 diabetes -
once called adult-onset
diabetes.
But new research raises the
question of whether obesity
could also be a factor in the
rarer Type 1 diabetes, which
used to be called juvenile
diabetes.
A Finnish study, published
today in the journal Diabetes
Care, indicated that
overweight children older than
3 were more than twice as
likely to develop Type
1
.The possible obesity
connection is of interest to
researchers who have been
grappling with a 33 percent
surge in diabetes prevalence
among American adults during
the 1990s and the alarming
recent appearance of Type 2
diabetes among children. The
sharp increase parallels a
spike in obesity, which is
considered an important
contributing factor in Type 2
diabetes.
"This is the first report
linking obesity with the
development of Type 1," said
Robert Sherwin, a Yale
University medical professor
and president of the American
Diabetes Association. "This is
unexpected. . . . This would
need to be confirmed in other
populations."
"It is intriguing," said Dr.
Seth Braunstein, chief of the
diabetes program at the
Hospital of the University of
Pennsylvania. "It may offer
another insight into the
causes of Type 1 diabetes."
Diabetes is a condition of
insulin deficiency or a
diminished ability of the body
to use the hormone. Insulin is
important because it helps
sugar enter cells.
In Type 1 diabetes, the body's
immune system attacks
insulin-producing cells of the
pancreas, reducing the amount
of insulin the organ can make.
In Type 2 diabetes, the body's
cells gradually become less
responsive to insulin.
In either type, sugar remains
in the bloodstream and, over
time, can damage vital organs.
Nearly 16 million people in
the United States have
diabetes, the vast majority of
them Type 2. While much of the
rise in diabetes is attributed
to new cases of Type 2,
experts say it is likely that
Type 1 is also climbing.
They believe Type 1 diabetes
is triggered by a combination
of genetics and environmental
factors, possibly including
viruses.
The Finnish study examined the
medical records of more than
1,000 children from infancy.
The study included all the
children who developed Type 1
diabetes in Finland during a
three-year period in the late
1980s and, for comparison, a
group of children without the
disease. In Finland, the rate
of children with this form of
diabetes has increased
fourfold in the last
half-century.
The Finnish finding is
surprising, said Sherwin, the
diabetes association
president, because Type 1
diabetes is generally
associated with weight loss.
"We haven't thought to look at
[obesity] as an issue,"
Sherwin said. "It is not the
usual thing."
It is possible, he said, that
children with Type 1 diabetes
had been overweight before
developing symptoms and then
dropped the pounds by the time
they were diagnosed. "Maybe
people have been missing the
boat," he said.
Interestingly, the study also
found that the risk of Type 1
was about 40 percent greater
for the tallest 15 percent of
children.
Elina Hypponen, the study's
lead author and a research
associate at Finland's Tampere
School of Public Health, said
there could be various
explanations for the findings.
The association between the
disease and both heavier and
taller children could be
traced to genetics. Or, she
said, the extra weight may be
playing a role.
"Actually, it is impossible to
say what these things truly
mean," she said.
Another unknown is to what
extent the Finnish findings
are applicable in the United
States, with its much more
diverse population.
"We need to look at this more
carefully," Sherwin said.
"Whether it will be relevant
to Philadelphia? It might be."
For more information
Contact the American Diabetes
Association at 1-800-342-2383
or
www.diabetes.org, or the
U.S. Centers for Disease
Control and Prevention at
www.cdc.gov/health/diabetes.htm
Multiple Sclerosis
(MS)
Take a
step to end MultipleSclerosis
1-800-fightms
http://nationalmssociety.org
MS Challenge
Walk
3
days. 50 miles. Closer to a
cure. People with MS
count on us. Can we count on
you?
Who you are is
illuminated by how you help.
For those with the passion to
make a positive difference,
there is the MS Challenge
Walk. This is your walk
because you have the
determination to do the right
thing, to make the world a
better place. You know the
enduring light of
transformation begins with a
tiny flame and that one long
journey over 3 days will
shorten the road to the cure
for
multiple sclerosis.
Among the devastating setbacks
for those who have multiple
sclerosis, or MS, is a loss of
the ability to put one foot in
front of the other. As with
other events of the National
Multiple Sclerosis Society,
the MS Challenge Walk affirms
our commitment to stop MS.
When you walk, you move the
world closer to a cure.
2003
Calendar
May
Charlotte May
30-June 1 From: White Oak SC
To: Charlotte NC
www.themschallenge.org
St. Louis May 30-June
1 St. Louis
www.gatewaymschallenge.org
June
Kansas/Missouri
June 6-8 From: Smithville Lake
To: Kansas City
www.msmidamerica.org
Northern California
June 20-22 The East Bay to San
Francisco
www.msconnection.org/events/
challenge/challengeinfo.htm
September
Colorado's Wild West September
5-7 Along the Colorado Rocky
Mountain foothills to Denver
www.nationalmssociety.org/ coc/home
Nation's Capital
September 5-7 from Annapolis,
MD to: Washington, D.C
www.msandyou.org/ms_ challenge
New England September
12-14 Cape Cod
www.msnewengland.org/ challenge/index.html
Southern California
September 12-14 Carlsbad to
San Diego
www.mymschallenge.com
Minnesota September
20-22
www.mnms.org
October
Pennsylvania/New
Jersey October 10-12 Historic
Philadelphia
www.walk4ms.org
South Florida October
17-19 Boca Raton to Key
Biscayne
https://www.nationalmssociety.org/ fls/event/event_detail.asp?e=6886
It
is not about being athletic—it
is about showing compassion.
This may be the greatest walk
you ever take. Through this
3-day, 50-mile event,
participants raise money for
vital research and programming
dedicated to finding a
cure—and aiding those who live
with MS.
Meeting
the needs of others ... is
what makes life
worth living. Eleanor
Roosevelt
3 days.
50 miles. Closer to a cure.
People with MS count on us.
Can we count on you?
2003 Calendar
_______________________
Hope for
MS Sufferers? Multiple
Sclerosis -Drug slows onset of
MS, study finds
Patients who
had early signs of the disease
were given Avonex. It costs
$10,000 a year, though.
By
Shankar Vedantam
INQUIRER STAFF WRITER
Aggressively treating patients
with very early signs of
multiple sclerosis - well
before the crippling nerve
disease is usually diagnosed -
can delay the onslaught of the
disease and mute its damage.
A study, conducted in 50
centers across the United
States and Canada, including
in Philadelphia, found results
so dramatic that researchers
stopped the trial midway and
called for early drug
intervention for all patients
at risk for MS.
"This is huge," said Steven
Galetta, a professor of
neurology at the University of
Pennsylvania, one of the
centers that studied the
impact of early treatment with
the drug Interferon beta-1A.
"It has profound implications
regarding those patients at
high risk for MS."
"The earlier you treat MS, the
better off you are," he said.
The study is to be published
tomorrow in the New England
Journal of Medicine.
The study was sponsored by
Cambridge, Mass.-based Biogen
Inc., a biotechnology firm
that sells the drug Avonex,
used in the trial. Avonex is
commonly used for MS patients
but has not been prescribed so
early.
Multiple sclerosis affects
about 350,000 people in the
United States, according to
the National Multiple
Sclerosis Society. Women are
two to three times more likely
to be affected than men.
The disease is characterized
by symptoms such as blurred or
weakened vision, weakness in
the fingers and toes, numbness
and imbalance. It sometimes
progresses to the point where
patients are partially
paralyzed and
wheelchair-dependent.
Scientists have found that
symptoms are caused by the
destruction of the myelin
sheath that covers nerve
fibers – akin to the breakdown
of the insulation of a
telephone wire. This disrupts
the transmission of messages
within the nervous system and
increases the risk of damage
to the underlying nerves.
Piecing together a diagnosis
of MS from early symptoms can
be difficult since they are
common to other conditions and
sometimes go away. Doctors
have so far relied on multiple
outbursts - or relapses - and
MRI brain scans to make a
diagnosis and begin treatment.
The new study and other
research indicates that
waiting to treat MS may be
harmful. Long before physical
symptoms develop, the brains
of MS patients appear to
undergo a steady, stealthy
assault.
And for each flare-up in
physical symptoms, said
doctors, there may be a dozen
silent attacks in the brain.
These attacks can cause lapses
in concentration, memory,
attention and judgment as well
as physical disabilities.
The study recruited 383
patients who had reported a
single outburst of symptoms.
An MRI scan established that
they were at risk for MS. One
half received weekly
injections of interferon
beta-1A, a drug currently used
to treat fully diagnosed MS,
while the rest received a
dummy injection or placebo.
After three years of
follow-up, scientists found
that 44 percent fewer patients
in the drug group had
developed a second outburst of
symptoms compared with those
in the placebo group. Since
the second outburst is the
traditional point at which a
diagnosis of MS is made, the
scientists concluded that
their treatment had
substantially delayed the
disease.
Even more impressive,
according to the researchers,
treated patients saw 90
percent fewer brain lesions in
certain MRI scans, a crucial
benefit, given that such
damage to the brain is
irreversible.
Eventually half the patients
in the placebo group went on
to develop MS, compared with
just over a third in the group
that got the drug.
Lawrence Jacobs, professor of
neurology at the State
University of New York in
Buffalo and the lead
investigator of the study,
said the results boded well
for long-term prognosis.
"It's very good to increase
the length of time between the
first and second relapse and
reduce the number of lesions,"
he said.
Two difficulties can prevent
the implementation of the
study results: A year's supply
of Avonex can cost $10,000,
raising questions about access
to care. Second, with the
inherent difficulty in
diagnosis, patients need to
take early symptoms seriously
and consult a neurologist,
Jacobs said.
The most common early signs to
watch for, he said, are lost
vision in one eye, pain with
eye movements, double vision,
coordination problems, and
an electric shock-like
sensation down the spine when
the chin is pressed against
the chest.
Shankar
Vedantam's e-mail address is
svedantam@phillynews.com
Asthma
There is
so much information about
asthma that I have a whole
page dedicated to it, click on
asthma
to view it.
Hermansky Pudlok Syndrome (HPS)
Index
About Hermansky-Pudlak
Syndrome
Hermansky-Pudlak
Syndrome (HPS) is a
genetic metabolic disorder
which causes albinism,
visual impairment, a
platelet dysfunction with
prolonged bleeding, and
progressive symptoms
including pulmonary
fibrosis, inflammatory
bowel disease and kidney
disease. The severity of
HPS ranges from very mild
with few symptoms to
severe and disabling.
Since HPS is an autosomal
recessive disorder, both
parents are expected to be
carriers of the abnormal
gene.
ALBINISM
The type of
albinism in HPS is a
tyrosinase-positive form,
which means that
individuals may present
with varied amounts of
pigmentation. Some persons
may have very light hair
and fair features, while
others may have dark hair
and appear to have ocular
albinism.
The visual
impairment inherent in HPS
persons is a result of the
lack of pigment during eye
development. This results
in decreased acuity and
frequently to legal
blindness, photophobia
(light sensitivity),
strabismus (crossed eyes),
and nystagmus (involuntary
movement of the eyes).
PLATELET DYSFUNCTION
Platelets are a
part of blood which helps
clotting. In HPS, the
platelets do not function
properly. For platelets to
work, they must have dense
bodies on them, much like
chips on a chocolate chip
cookie. These chips are
filled with chemicals,
which when released, cause
the platelets to clump and
stick together. The
platelets of individuals
with HPS do not have these
dense bodies. Without
them, HPS platelets do not
work, causing poor
clotting or a bleeding
tendency.
What are the symptoms
of platelet dysfunction?
Persons with HPS
may have a tendency to
bruise easily. They may
experience frequent
nosebleeds or when cut,
tend to bleed longer.
Other persons may have
unusual bleeding episodes
(e.g., heavy menstrual
bleeding, bleeding with
dental procedures). The
amount of prolonged
bleeding varies in
individuals from very mild
to life threatening.
CEROID ACCUMULATION
Ceroid is the
name given to the waxlike
substance made by certain
cells in persons with HPS.
Ceroid accumulation may
cause dysfunction in some
organs including the
intestines, lungs and
kidneys.
What are the symptoms
of ceroid accumulation?
When the
intestines become affected
by ceroid, it may cause
diarrhea, weight loss,
cramps and possibly blood
in the stool. These
manifestations resemble a
common disease called
Crohn's disease.
More
commonly, when lungs
become affected, shortness
of breath and abnormal
fatigue with exertion
might be a sign. The
disease can progress to
pulmonary fibrosis having
scar tissue restrict the
inflation of the lungs.
How it is Diagnosed
Standard blood
tests [i.e., prothrombin
time (PT), partial
thromboplastin time (PTT),
platelet count, and a
bleeding time] DO NOT
identify the platelet
defect in HPS. For proper
diagnosis the platelets
must be examined under an
electron microscope to
observe the absence of
dense bodies (the
chocolate chips). Special
laboratories are needed
for this test. Contact the
HPS Network if more
information or assistance
is needed.
Standard of Care
First and
foremost, every person
with albinism should have
an understanding of HPS
and inform their physician
of its possibility,
especially before any
medical or dental
procedures. A prompt
diagnosis would be wise.
At the moment
there is no one particular
treatment for HPS,
however, your physician
can help you handle the
symptoms that may arise. A
good understanding of the
signs and symptoms of HPS
will help you inform your
doctor when you might need
medical attention.
You may want to
discuss with your physician
the following:
1. The use of a
Medicalert Bracelet or
other identification to
notify care givers of your
bleeding disorder.
2.
The avoidance of aspirin,
products containing
aspirin, and any other
products, which may
compromise platelet
function.
3.
The importance of good
dental care. Your dentist
must be aware of the
syndrome because some
dental procedures may
require special
medications and
precautions.
4.
The proper treatment for
nosebleeds. Nasal packing
should only be done under
medical supervision
because removal may cause
further bleeding.
5.
The possible benefits of
conscientious treatments
for upper respiratory
infections and avoidance
of smoking.
6.
The use of Vaseline gauze
and pressure dressings on
cuts or abrasions that
require coverings.
7.
The roles of thrombin on
gelfoam for surface
bleeding and the role of
DDAVP and platelets for
serious bleeding.
Also, actively join the
HPS Network in our
pursuits and friendship.
We are in frequent
communication with
researchers and will make
any developments available
to its members.
How to Contact the Network
Hermansky-Pudlak
Syndrome Network Inc.
One
South Road
Oyster Bay, New York
11771-1905
516-922-3440
1-800-789-9HPS
fax
- 516-922-4022
mailto:appell@worldnet.att.net
Founder and President:
Donna Jean Appell
About our Services
The
Hermansky-Pudlak Syndrome
Network Inc. is a
volunteer, not-for-profit,
self-help support group
for persons and families
dealing with
Hermansky-Pudlak Syndrome.
Founded in 1992, its
membership has grown to
include persons from all
around the world. It does
not diagnose or treat HPS,
nor does it provide
genetic counseling. We are
involved in networking
individuals, families and
doctors for the purpose of
education and research. We
publish a newsletter, a
pamphlet, and maintain a
bibliography of materials
on Hermansky-Pudlak
Syndrome. We hold an
annual Family Conference
for education and support.
Each year we become closer
finding strength and
courage in each other,
knowing that we are a
large genetic family whose
connection lies at the
very core of human
existence. We promote
research activities and
are presently involved in
research at the National
Institute of Health and
the University of
Minnesota. If you are
interested in membership
or further information
please contact us.
Selected readings
King R.A.,
Hearing V.J., Creel D.,
Oetting W.S., 1995,
Albinism, in The Metabolic
and Molecular Basis of
Inherited Disease, 7th
edition, Scriver CR,
Beaudet AL, Sly WS, Valle
D (eds), McGraw-Hill, New
York, pp. 4353-4392.
Wildenberg S.C.,
Oetting W.S., Almadovar
C., Krumwiede M., White
J.G., King R.A., 1995, The
gene causing
Hermansky-Pudlak Syndrome
in a Puerto Rican
population maps to
Chromosome 10q2, Am. J.
Hum. Genet. 57:755-765.
diabetes
MS
Asthma
HPS
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