High Blood Sugar In The Morning When Fat Adapted - Arcondicionadoautomotivok2

Home >> high blood sugar in the morning when fat adapted

Blood Sugar hyperglycemia opposite low blood sugar, high blood sugar in the morning when fat adapted What Causes Low Blood Sugar How To Lower Blood Sugar.

For sufferers with T1DM, a regime of basal bolus insulin is the mainstay of therapy The different benefits of SGLT 2 inhibitors and GLP I receptor agonists are a discount in body weight, blood pressure , and albuminuria high blood sugar in the morning when fat adapted GDM may be complicated by hypertension, preeclampsia, and hydramnios and can also result in increased operative interventions.

While it won t undo any damage to your imaginative and prescient, treatment can cease your vision from getting worse It s also important to take steps to control your diabetes, blood pressure, and ldl cholesterol Eventually, many cat owners can study to carry out blood glucose curves at home This helps avoid stress hyperglycemia and inappetence skilled by many cats in the veterinary clinic, and may due to this fact give more accurate outcomes.

The only data she gave me was to vary his food plan and get the degrees checked once more in three months Is that a traditional response or is there something .

Diabetes Epidemiology And Management

else I have to be doing I truly have no perfect what the numbers stated and I m just actually confused Having multiple meals per day will assist diabetics in maintaining optimum glucose blood ranges.

Most of the time, the next treatment strategies are advised to do at home yourself Having a sugary drink or snack may help enhance blood sugar ranges and balance out and improve any signs Even a small juice of juice or sweets can enhance weak point and comparable signs For those with low blood sugar ranges, management and treatment is somewhat simpler to do yourself If you discover high blood sugar in the morning when fat adapted your blood sugar is merely too low and you discover signs, always search medical attention.

The NIDDK translates and disseminates research findings to increase information and understanding about well being and disease among patients, well being professionals, and the public Content produced by the NIDDK is carefully reviewed by NIDDK scientists and other consultants Easily discover the diabetes program or sources in your area you ve been on the lookout for Search for almost anything high blood sugar in the morning when fat adapted from medical care to education, to vitamin and health Find resources in every zip code so you can get the assist you to want wherever you are.

DM that outcomes from harm to the pancreas eg, after frequent episodes of pancreatitis or from medication similar to corticosteroids Type 1 DM usually presents as an acute sickness with dehydration and infrequently diabetic ketoacidosis The American Diabetes Association 1 800 DIABETES estimates that more than 5 million Americans have type 2 DM with out understanding it A calorically restricted diet, common exercise, and metformin or insulin are used to deal high blood sugar in the morning when fat adapted with GDM.

Compare our meters to find the best match for your what to eat to reduce sugar in blood way of life The Carnivore Cast is a podcast focused on the carnivore food plan and way of life with practical advice from profitable carnivores, citizen scientists, and high researchers Kara is the co founder and Director of Nutrition for NutriSense, a full service well being education firm specializing within the cutting edge health and medical expertise of Contin Molly Downey speaks about CGMs and the way they re such a powerful software for amassing knowledge that can assist enhance your overall well being and quality of life.

This might cause you to get up in the course of the hyperglycemia opposite low blood sugar Normal Blood Sugar Levels night or cause complications, tiredness or damp sheets within the morning Estimated average glucose , in the same sort of numbers as your day to day blood sugar readings A blood pattern is high blood sugar in the morning when fat adapted drawn in a fasting check after you go without consuming for no much less than eight hours, and even overnight It is advisable to report your blood and insulin levels in log sheets as advised in your doctor s note.

Learn what meals are best to high blood sugar in the morning when fat adapted assist you handle your prediabetes After fasting for eight hours, you get a special sugary drink Cycling reduces the chance of nerve injury also referred to as diabetic neuropathy which is a complication following kind 2 diabetes, can be a huge cause for joint pains resulting in arthritis According to medical sciences, a reading of a hundred and eighty mg dl or much less is taken into account to be regular after 2 hours of food consumption in sufferers affected by diabetes This has proved to be a basic check in terms of checking pre diabetes or diabetes.

Metabolic actions of insulin like development factor I in normal physiology and diabetes A two hour oral glucose tolerance take a look at with any value over 200 mg dl clinches the high blood sugar in the morning when fat adapted prognosis An RBS can be safely carried out in the home setting by the affected person utilizing a simple package which features a finger prick system high blood sugar in the morning when fat adapted and a glucometer.

Insulin is used in the administration of kind 1 diabetes and a few circumstances of type 2 diabetes Insulin remedy has does water fasting cause low blood sugar a well known adverse aspect impact of hypoglycemia if its administration just isn t managed successfully Patients with insulin dependent diabetes will benefit from regular blood glucose monitoring Regular every day blood glucose monitoring is recommended for these with diabetes and insulin therapy Gestational diabetes is diabetes that develops during being pregnant.

It is beneficial to severely lower your every day carbohydrates consumption Symptoms might differ different folks would possibly experience completely different symptoms You ought to login to Cloudflare and check the error logs for wholesomealivecom.

Common tests are HbA1C, fasting blood sugar, oral glucose tolerance and random blood sugar Insulin, a hormone produced by the pancreas, helps keep normal blood sugar levels 4 Trusted Source Insulin Wikipedia Go to source Another How To Know If You Have Diabetes hyperglycemia opposite low blood sugar method to know what your glucose ranges are up to is to make use of a continuous glucose monitor, or CGM, which reads glucose in the interstitial fluid about each 5 minutes.

Don t train if ketones are current, and check typically if ketone levels are reasonable or high It also helps the physician decide what kind What Causes Diabetes high blood sugar in the morning when fat adapted of diabetes the patient has This could additionally be sort 1 or kind 2 diabetes, or gestational diabetes in some instances Patients also need to be aware that insulin resistance can turn into diabetes.

The definitions and descriptions that high blood sugar in the morning when fat adapted comply with are drawn from the Report of the Expert Committee on the Diagnosis and Classification of Diabetes Mellitus The report was first approved in 1997 and modified in 1999 Although different terms are present in older literature and remain in use, their use in present medical follow is inappropriate.

It is believed that the tendency to develop abnormal antibodies coping with a false low blood sugar in type 1 diabetes is, in part, genetically inherited, although the small print aren t absolutely understood Home blood glucose self monitoring is indispensable in helping sufferers to regulate day by day insulin doses based on take a look at outcomes and to attain optimum long term management of diabetes Insulin or other hypoglycemic brokers are administered as prescribed, and their action and use explained to the affected person With help from a dietitian, a diet is planned based mostly on the beneficial amount of energy, protein, carbohydrates, and fat The quantity of carbohydrates consumed is a dietary key to managing glycemic management in diabetes For most males, 60 to seventy five carbohydrate g per meal are an affordable consumption for most ladies, forty five to high blood sugar in the morning when fat adapted 60 g are applicable.

Diabetic ketoacidosis may be brought on by infections, stress, or trauma, all of high blood sugar in the morning when fat adapted which may increase insulin requirements In addition, lacking doses of insulin can be an apparent risk issue for creating diabetic ketoacidosis Urgent treatment of diabetic ketoacidosis includes the intravenous administration of fluid, electrolytes, and insulin, usually in a hospital intensive care unit.

Continuous glucose monitoring is expensive and will or is probably not lined by your health plan The best approach to know your blood glucose level is to examine it with a glucose meter This means doing a fingerstick with a lancet and getting a drop of blood onto a check strip, then inserting the strip into the meter for a reading Your physician could possibly offer you a meter freed from cost, but you ll doubtless need to pay for take a look at strips and lancets But verify along with your health plan, as there are doubtless one or two preferred meters that they want you to use.

Treatment of pituitary diabetes insipidus consists of administration of vasopressin A artificial analogue of vasopressin can be administered as a nasal spray, offering antidiuretic activity for eight to twenty hours, and is currently the drug of high blood sugar in the morning when fat adapted selection Patient care contains instruction in self administration of the drug, its anticipated motion, signs that point out a necessity to regulate the dosage, and the significance of follow up visits Patients with this condition ought to put on some form of medical identification at all times With changing life and rising weight problems, the prevalence of DM has elevated worldwide According to the International high blood sugar in the morning when fat adapted Diabetes Federation , in 2015, about 10 of the American inhabitants had diabetes.

Discover the therapy choices for individuals with sort 2 diabetes, including medicines and life style improvements Toe amputation is a standard procedure carried out by all kinds of healthcare suppliers One of the commonest indications for toe amputation is sufferers with a diabetic foot Toe amputation is usually carried out as a last resort when medical treatment fails, or the toe can t be salvaged Complications of toe amputation include pain, swelling, bruising, blood clotting, and hematoma.

I suppose there is not any easy resolution to this, nonetheless I m keen to know more Our group has been providing related and nicely researched medical .

Nyt Samarbejde Skal S Tte Mennesker Med Diabetes I Centrum

info since 2012 Increase his strolling time to 30 minutes every single day after dinner If you re feeling very drained, thirsty, have blurry vision, or need to high blood sugar in the morning when fat adapted pee extra typically, your blood sugar could also be high blood sugar in the morning when fat adapted high It is generally accepted that most people need about 4 to 6 cups of water every day It can be not suitable for sufferers who ve asthma, energetic lung most cancers, or chronic obstructive pulmonary disease.

It requires little or no planning to take a tablet each morning Even should you choose a complement that requires you to take a dose multiple instances a day, that is still a lot easier than a variety of the different strategies of balancing blood sugar Furthermore, many of these supplements additionally enhance your metabolic price This may allow you to burn more calories than you ll otherwise, which may result in larger levels of Blood Sugar Levels Chart By Age high blood sugar in the morning when fat adapted weight loss While What Causes Diabetes high blood sugar in the morning when fat adapted these supplements are largely for treating and managing prediabetes and diabetes, they high blood sugar in the morning when fat adapted high blood sugar in the morning when fat adapted may also assist those who are obese lose a bit of weight high blood sugar in the morning when fat adapted Many have the added side impact of reducing the absorption fee of sugar and carbohydrates, which may decrease the variety of calories your physique absorbs.

A random blood glucose take a look at can be used to diagnose diabetes A blood glucose degree of 200 mg dl or higher signifies diabetes The two kinds of diabetes are referred to as type 1 and kind 2 Former names for these circumstances have been insulin dependent and non insulin dependent diabetes, or juvenile onset and adult what kind of cinnamon lowers blood sugar onset diabetes.

If you maintain a blood sugar chart properly, it will make it simple in your doctor to write down a medical necessity form for you The hormones your body might produce in response to extended stress may stop insulin from working correctly, which is can walking lower blood sugar able to increase your blood sugar and stress you even more If you smoke or use other forms of tobacco, ask your doctor that can help you give up Smoking increases your danger of assorted diabetes issues Smokers who ve diabetes are extra doubtless to die of cardiovascular disease than are nonsmokers who have diabetes, according to the American Diabetes Association.

Work together with your physician to determine your personal blood sugar goals primarily based on your age, well being, diabetes therapy, and whether or not you have kind 1 or sort 2 diabetes Make a observe of another components, corresponding to sickness, physical exercise, stress, or diet that may have impacted your blood sugar levels If blood sugar levels aren t excessive sufficient to put you or your child immediately at risk, you could be referred to a health care provider who specializes in diabetes, amongst different disorders.

Taking an extreme amount of medication taking an extreme quantity of insulin treatment may cause a low blood sugar level These medications are called sulphonylureas or glinides An overproduction of insulin could cause the physique to panic and improve its resistance uti and blood sugar to insulin, that means the blood sugar is not going to absorb correctly Cells may develop a tolerance to insulin, making it essential for the pancreas to produce and launch more insulin to lower your blood sugar ranges by the required quantity Eventually, the body can fail to supply enough insulin to keep up with the sugar coming into the body Blood sugar supplements could be a half of diabetes or prediabetes administration strategies.

It is also really helpful that women with a history of GDM bear lifelong screening for the development of diabetes or prediabetes at least each three years If your eye doctor thinks you might have extreme diabetic retinopathy or DME, they might do a check called a fluorescein angiogram This test lets the physician see footage amazon smart blood sugar of the blood vessels in your retina Having diabetes almost doubles your risk of creating a type of glaucoma referred to as open angle glaucoma.

If you ve just eaten, your blood sugar levels will go up, and then they ll settle again down If you have diabetes, nevertheless, your blood sugar levels may should be specially managed Everyone will reply differently to certain factors, which is why it s important to have individualized goal glucose levels Of course, tiredness is a reasonably nonspecific symptom and can what does a 600 blood sugar level mean even be an indication of low blood sugar, as Dr Adimoolam factors out.

A blood sugar degree vary between a hundred and forty and 199 mg dL signifies prediabetes Keeping monitor of blood sugar levels is crucial for people with diabetes Recording your blood glucose and sugar readings in a printable blood sugar chart is a convenient method to determine patterns If you re overweight, losing simply 5 of your physique weight can make a distinction in your blood sugar management if you have prediabetes or type 2 diabetes.

Higher glycation occurs with elevated blood sugar concentration, which can explain why hyperglycemia could cause issues similar to coronary heart attack and stroke At the identical time, glycated particles similar to LDL low density lipoprotein or unhealthy sort of cholesterol are more prone to oxidation As a result, oxidized LDL induces the atherosclerosis process The different type is postprandial or after meal hyperglycemia, which occurs when your blood sugar is larger than 180 mg dl two hours after a meal People without diabetes not often have blood sugar higher than a hundred and forty mg dl after a meal unless it s a big one.

We highly suggest making an attempt out a quantity of dietary supplements before you high blood sugar in the morning when fat adapted dismiss all of them Like many supplements, this one by PurePremium includes cinnamon and mulberry Both of those components seem to work quite properly in accordance with the scientific literature, which we will talk about in depth later on.

Taking steps to stop or control diabetes doesn t mean residing in deprivation it means consuming a tasty, balanced food regimen that will also increase your energy and improve your temper You don t have to surrender sweets entirely or resign your self to a lifetime of bland meals A disease marked by abnormal ranges of sugar in the blood, caused by the body s incapability to supply or use insulin correctly If untreated, it could possibly cause circulatory issues and nerve harm Diabetes could also be treated with medication, insulin injections, and dietary restrictions This test offers details name for machine that tests blood sugar about a person s common levels of blood glucose over the previous three months.

T2DM is mostly seen in persons older than 45 years Still, it s more and more seen in children, adolescents, and younger adults as a result of rising levels of weight problems, bodily inactivity, and energy dense diets While shedding 5 of your physique weight is good, losing no high blood sugar in the morning when fat adapted less than 7 and preserving it off appears to be perfect That means someone who weighs one hundred eighty kilos can change their blood sugar ranges by dropping round 13 pounds.

The gadget mechanically delivers the appropriate quantity of insulin when the monitor indicates it s wanted For appropriate glycemic management in purchasers with diabetes in non critical care settings, capillary blood glucose testing is the beneficial technique of testing In shoppers who are capable of eating, blood glucose testing is really helpful before meals and gestational diabetes blood sugar dx at bedtime, and every 4 6 hours in shoppers receiving enteral feeds and or are nil by oris.

For youngsters between the age of 6 and 12, before eating, blood sugar levels should be between 90 mg dL 5 mmol L and a hundred and eighty mg dL 10 mmol L Before sleep values ought to be between a hundred mg dL 55 mmol L and 180 mg dL 10 mmol L For a healthy adult blood sugar level 30 high blood sugar in the morning when fat adapted How To Lower Blood Sugar a traditional degree is between 72 mg dL and 108 mg dL 4 to 6 mmol L The focus of glucose within the blood of a healthy individual in the morning on an empty abdomen is between 68 mg dL and 108 mg dL 3eight and 6zero mmol L Two hours after consuming meals or drinks wealthy in carbohydrates, the values are often between 120 and 140 mg dL 67 and 78 mmol L If blood sugar levels are both elevated or decreased by a higher margin than high blood sugar in the morning when fat adapted anticipated this would possibly point out a medical condition.

When you ve eaten prior to now two hours, it should be no larger than 140 mg dL To refresh your chemistry data, that unit is milligrams per deciliter and it s measuring the quantity of glucose current in your blood What do blood glucose ranges mean and what vary is healthy high blood sugar in the morning when fat adapted Fasting degree is normal and you don t say how lengthy submit meal or what you ate.

Resistance coaching, similar to energy exercises, has been proven to improve blood sugar control For individuals with diabetes, being aware of how meals will impact blood sugar is an on a daily basis feat Managing blood sugar has both short term and long term advantages, including reducing the chance of diabetes related problems When making meals decisions whereas managing blood sugar levels, it could be very important select ones that won t cause your blood sugar to increase quickly and considerably Look for whether foods have complex or simple carbohydrates and opt for advanced carbohydrates when attainable Blood checks are extra frequent urine tests for measuring blood sugar.

Diabetes can also develop on account of pancreatic illness, alcoholism, malnutrition, or different severe sicknesses that stress the physique A low socioeconomic standing for most African Americans hinders access to well being care As the Knowledge Portal is being mined and analyzed, the partnership is seeking to fill in information gaps by executing particular analyses of the info Specifically, researchers are investigating targets of particular interest by sequencing DNA from select individuals Take benefit of actions developed by leaders in the area of diabetes Listen to partaking talks on the most urgent issues in diabetes analysis, high blood sugar in the morning when fat adapted remedy and high blood sugar in the morning when fat adapted care.

Left untreated, cuts and blisters low blood sugar and cinnamon intake can develop critical infections, which regularly heal How To Know If You Have Diabetes hyperglycemia opposite low blood sugar poorly These infections might ultimately require toe, foot or leg amputation Diabetes can harm the blood vessels of the retina , potentially leading to blindness.

Find key clinical practice recommendations primarily based on the most recent trials and professional opinions can occasional low blood sugar lead to diabetes Search ADA s comprehensive high blood sugar in the morning when fat adapted database of Abstracts to find the results of the most recent scientific research Make certain you always have a minimal of three days price of supplies readily available for testing and treating your diabetes in case of an emergency.

If you re at excessive risk of creating diabetes, taking this medicine is crucial for reducing high glucose levels Part of the body s fight or flight response to emphasize is to produce additional glucose Another facet of that response is a rise within the hormone cortisol High cortisol can reduce the body s sensitivity to insulin.

As beforehand described, your physician can conduct a sequence of blood tests to determine your blood glucose level high blood sugar in the morning when fat adapted These may embrace a fasting blood glucose check or a random blood glucose test Getting good relaxation will assist regulate your hormones and cut back undesirable spikes in your blood glucose ranges.

Examples of common prebiotic meals embrace garlic, onions, leeks, asparagus, spinach, seaweed, green bananas, and cocoa All the most effective well being and wellness advice, suggestions, tricks, and intel, delivered to your inbox daily With that in mind, listed below are hyperglycemia opposite low blood sugar Normal Blood Sugar Levels the signs of excessive blood sugar you must be aware of, and what to do if you re experiencing them This is a quantitative take a look at, which means that you will find out the amount of glucose present in your blood pattern Episodes of hyperglycemia for an extended period leads to either diabetic ketoacidosis or hyperglycemic hyperosmolar state.

For this cause, a decrease dose of 300 mg is usually recommended Berberine is believed to assist with blood sugar because it might enhance insulin sensitivity and help sugar move into your muscle tissue easier This evaluation additionally noted that taking berberine alongside diabetes medication lowered participant s blood sugar considerably more than just medication alone If you already have diabetes and are on medication, talk about these when is type 1 diabetes diagnosed supplements along with your doctor Some ingredients can .

What Is Hypoglycemia Symptoms And Treatments

interfere with diabetes treatment since each are performing the identical job.

Often insulin is injected using a nice needle and syringe or an insulin pen a device that looks like a large ink pen The safest method to keep away from any of the potential dangers of alcohol and diabetes is to avoid using alcohol altogether If you drink alcohol, it s necessary to think about these sugars and energy when you re looking at your general food regimen Pay consideration to labels and serving sizes as a end result of completely different alcoholic drinks impression sugar levels in another way Each week Dr Morgan Nolte, PT, DPT, GCS breaks down the analysis behind weight loss and habits change to give you actionable steps to begin seeing results.

Chronic stress releases hormones that stop insulin from working correctly The stress hormone Cortisol negatively affects your body s production of insulin and will increase your blood sugar levels It can also decrease your immune system, contributing to worsened symptoms if you have diabetes In individuals with out sort 1 high blood sugar in the morning when fat adapted or sort 2 diabetes, blood sugar ranges usually range between 70 to 130 mg dl.

If sufficient glycemia cannot be achieved, metformin is the first line remedy Following metformin, many other therapies such as oral sulfonylureas, dipeptidyl peptidase 4 DPP 4 inhibitors Recent studies have shown that the SGLT2 inhibitor, empagliflozin , and the GLP 1 receptor agonist, liraglutide, scale back significant cardiovascular events and mortality Hence, in patients with CV disease, these medicine must be thought of next.

Angiotensin converting enzyme inhibitors or angiotensin receptor blockers used in treating hypertension may benefit kidney disease in sufferers with diabetes To deal with diabetic retinopathy, a laser is used to destroy and stop the recurrence of the event of these small aneurysms and brittle blood vessels Approximately 50 of patients with diabetes will develop some degree of diabetic retinopathy after 10 years of diabetes, and 80 retinopathy after 15 years of the illness Poor control of blood sugar and blood stress additional aggravates eye illness in diabetes The classic oral glucose tolerance check measures blood glucose levels five occasions over a interval of three hours.

After supply, the baby continues to have a high insulin degree, however it now not has the excessive level of sugar from its mom, ensuing in the newborn s blood sugar degree becoming very low The child s blood sugar stage is checked after start, and if the extent is just too low, it may be needed to provide the infant glucose intravenously Unlike type 1 diabetes, gestational diabetes is not brought on by an absence of insulin, however by different hormones produced throughout pregnancy that may make insulin much less effective, a situation known as insulin resistance Gestational diabetic symptoms disappear following supply Diabetes is defined as an elevated blood sugar, but there are heaps of causes of an elevated blood sugar.

Most women who ve gestational diabetes deliver wholesome babies However, untreated or uncontrolled blood sugar ranges may cause issues for you and your child To make sure your diabetes remedy plan is working, you ll want a special lab take high blood sugar in the morning when fat adapted a look at known as an A1C check This take a look at exhibits your common blood sugar stage over the previous 3 months.

For instance, in case you are diabetic and are monitoring your blood sugar, you might get a studying of 65 mg dl That is considered to be delicate hypoglycemia, and you ll be clever to eat 15 blood sugar kit cvs grams of fast acting carbohydrates and retest your blood sugar in quarter hour Glucose is treasured fuel for all of the cells in your body when it is current at normal levels high blood sugar in the morning when fat adapted The physician tests your blood sugar and it s larger than 200, plus you re peeing extra, at does meat affect blood sugar all times thirsty, and you ve gained or misplaced a major quantity of weight They ll then do a fasting sugar stage take a look at or an oral glucose tolerance take a look at to verify the analysis.

Whole and unprocessed nuts and nut butter have very low glycemic index scores of less than 20 Nuts are excessive in fiber and make a great snack meals or addition to meals Nut butter is a powerful option to help satisfy your candy tooth without the major spike in your blood sugar Every time you turn in your meter, it does an electronic verify Look in your meter s handbook to see what the error codes mean and the means to repair the issue If you re not sure if your meter is working correctly, name the toll free quantity in your meter s manual, or contact your well being care provider.

A blood sugar chart determines the diabetic person s sugar levels throughout the day involving earlier than and after .

Which Of The Following Helps Prevent Type 2 Diabetes

meals This chart is utilized by doctors to set high blood sugar in the morning when fat adapted goal targets and monitor diabetes therapy plans Moreover, diabetic patients used it to self monitor their blood sugar take a look at results A similar set of processes apply to maintaining a healthy blood stress degree In many ways, keeping your blood stress in a good vary is much more important than keeping your blood glucose in an excellent vary.

Sharing your high blood sugar in the morning when fat adapted frustrations and your triumphs with people who perceive what you are going through can be very helpful And you might discover that others have high blood sugar in the morning when fat adapted great tips to share about diabetes administration Explore Mayo Clinic research testing new therapies, interventions and exams as a means to forestall, detect, treat or handle this condition If your cells are starved for energy, your body could Arcondicionadoautomotivok2 high blood sugar in the morning when fat adapted start to interrupt down fats.

In addition, some physicians advocate the use of medications, corresponding to metformin , to help prevent delay the onset of overt diabetes Unlike type 1 diabetes, gestational diabetes generally occurs too late to cause start defects Birth defects normally originate someday during the first trimester of being pregnant.

So, deciding on what dose of insulin to take is an advanced balancing act If you are taking an extreme quantity of insulin, then your blood sugar can drop to a dangerously low stage This is a calledhypoglycemia and it might be life threatening We don t know what causes gestational diabetes, but we all know that you re not alone We do know that the placenta helps the child because it grows.

Having diabetes makes you 2 to 5 instances more likely to develop cataracts It additionally high blood sugar in the morning when fat adapted makes you more more likely to get them at a younger age Once your cat has been recognized, it s best to begin high blood sugar in the morning when fat adapted out insulin remedy as soon as attainable Hypoglycemia A condition the place there is too little glucose or sugar within the blood.

Hyperglycemia A situation the place there is too much glucose or sugar within the blood Babies born to diabetic moms have an elevated threat of delivery defects and misery at delivery Diabetic peripheral neuropathy is a situation where nerve endings, particularly in the legs and toes, turn into less delicate Diabetic foot ulcers are a specific problem since the affected person doesn t really feel the pain of a blister, callous, or different minor damage.

Pre diabetes significantly increases the danger of growing kind 2 diabetes The good news is that, in case you have prediabetes, you can stop or delay the onset of full blown kind 2 diabetes by making way of life modifications These embrace consuming a nutritious diet, reaching and sustaining a wholesome weight, and exercising frequently Insulin is important to patients with type 1 diabetes they cannot reside with no supply of exogenous insulin Without insulin, patients with sort 1 diabetes develop severely elevated blood sugar levels.

The common traits and high blood sugar in the morning when fat adapted metabolic threat elements of the examine population are presented in desk 2 and supplementary determine 2 The prevalence of whole diabetes was larger in men than in girls The standardised prevalence of prediabetes was 352 335 to 370 in Chinese adults, identified by the ADA standards No vital variations in the prevalence of diabetes and prediabetes had been found between urban and rural residents.

This blood sugar measurement is taken high blood sugar in the morning when fat adapted 2 hours after the start of a meal, or 2 hours after ingesting a sugary liquid throughout an oral glucose tolerance test When you eat, the carbohydrate in your meals is damaged down right into a usable type of energy known as glucose Glucose also called sugar enters the bloodstream and a hormone known as insulin .

What Age Does Type 1 Diabetes Occur

helps transfer it into our cells Resistant starch might help you shed pounds and enhance your health Learn about commercially made resistant starch, how it works, and why it is different from the sort you are used to seeing in dietary supplements and foods.

Heart, brain, kidneys, and muscular tissues are among a few principal organs of our physique which are depending on a continuing supply of glucose to function optimally Because of this, it s essential to make use of these dietary supplements by themselves If you re on some sort of other diabetic medicine, you need to work intently together with your doctor to make use of the proper dosages Your diabetic medication could need to be lowered as you use these dietary supplements as properly, Arcondicionadoautomotivok2 high blood sugar in the morning when fat adapted so remember to mention that you re taking them to your doctor In some instances, the supplements we included in our review can also help you lose weight Many claim to improve your metabolic fee, which may increase the variety of energy you burn daily.

Try mixing these fruits into oatmeal for a hearty breakfast or into Greek yogurt for a satisfying snack Emily is a well being communication consultant, writer, and editor at EVR Creative, specializing in public well being analysis and health promotion Getting 2 or extra of the values shown is indicative of gestational diabetes Any of the next are indicative of gestational diabetes If you had been not diabetic, you in all probability would not know that your hyperglycemia opposite low blood sugar sugar was low because you wouldn t test and since you wouldn t signs, and you would not act.

One third of all cardiovascular ailments additionally have an effect on people with diabetes Diabetic patients must monitor their ranges as body s lack of ability to properly utilize and or produce insulin can pose a critical risk to their health Arcondicionadoautomotivok2 high blood sugar in the morning when fat adapted The A1C supplements raise blood sugar A one C is a check accomplished in a How To Know If You Have Diabetes hyperglycemia opposite low blood sugar lab or at your provider s office.

Compared with a 7 prevalence in non Hispanic Caucasians, the prevalence in Asian Americans is estimated to be 80 , in Hispanics 13 , in blacks round 123 , and in certain How To Know If You Have Diabetes hyperglycemia opposite low blood sugar Native American communities 20 to 50 Finally, diabetes happens rather more frequently in ladies with a prior history of diabetes that develops throughout Blood Sugar Levels Chart By Age high blood sugar in the morning when fat adapted being pregnant Risk factors for sort 1 diabetes usually are not as nicely understood hyperglycemia opposite low blood sugar Normal Blood Sugar Levels as those for kind 2 diabetes Family historical past is a identified danger issue for type 1 diabetes.

Ancient Greek, high blood sugar in the morning when fat adapted Indian, and Egyptian civilizations found the candy nature of urine on this situation, and hence the propagation of the word Diabetes Mellitus got here into being Mering and Minkowski, in 1889, found the function of the pancreas in the pathogenesis of diabetes In 1922 Banting, Best, and Collip purified the hormone insulin from the pancreas of cows on the University of Toronto, leading to the availability of an efficient therapy for diabetes in 1922 Over the years, distinctive work has taken place, and multiple discoveries, as well as administration methods, have been created to deal with this growing problem Unfortunately, even at present, diabetes is amongst the commonest chronic diseases in the country and Arcondicionadoautomotivok2 high blood sugar in the morning when fat adapted worldwide.

People with kind high blood sugar in the morning when fat adapted 1 need to inject insulin or use an insulin pump to ensure their our bodies have the proper amount of insulin Building wholesome habits is way easier when you could have your help community in your facet Learn how to get your loved ones concerned and my blood sugar was 61 is that dangerous excited concerning the wholesome eating changes you re making in your life There high blood sugar swollen face are three primary types of diabetes kind 1, sort 2 and gestational Is a chronic Arcondicionadoautomotivok2 high blood sugar in the morning when fat adapted illness that occurs when the pancreas is no longer able to make insulin, or when the physique can not make good use of the insulin it produces You can take steps to lower your chances of creating these diabetes related well being issues.

Diagnostic criteria for diabetes related issues are offered in table 1 Treatment was outlined as the proportion of people taking medication for diabetes among those recognized with the disease Control was outlined because the proportion of people with an HbA1c focus of less than 70 amongst sufferers with diabetes who have been taking medicine Conclusion The prevalence of diabetes has elevated slightly from 2007 to 2017 amongst adults living in China The high blood sugar in the morning when fat adapted findings indicate that diabetes is a crucial public health problem in China.

In general, pregnant ladies with diabetes will wish to observe individual guidelines supplied by their endocrinologist We ll be speaking about the great new technology of continuous glucose monitoring with dietician Molly Downey from the health expertise company, Nutrisense A closer look at the impact cheese has on blood sugar levels and tips on how to still take pleasure in this scrumptious food while managing your blood sugar Learn the a number of variables impacting your baseline ranges of blood sugar and find out what is regular in your age vary with our helpful charts Nuts and nut hyperglycemia opposite low blood sugar Normal Blood Sugar Levels butter also have plant proteins, high blood sugar in the morning when fat adapted good fats, magnesium, and potassium.

But transplants aren t all the time successful and these procedures pose severe dangers You need a lifetime of immune suppressing medicine to prevent organ rejection These medication can have critical unwanted effects, which is why transplants are often How To Know If You Have Diabetes hyperglycemia opposite low blood sugar reserved for folks whose diabetes cannot be controlled or those that additionally want a kidney transplant Alcohol impacts your blood sugar for so long as it s in your body The effects of alcohol on your blood sugar will initially improve as the sugar from alcohol enters your blood, then peak as quickly as the utmost amount of sugar within the alcohol has been absorbed If you don t have diabetes, alcohol can improve high blood sugar in the morning when fat adapted your danger of developing it and contribute to excess calories and changes in blood sugar as a end result of increased insulin secretion.

They additionally comprise beta glucans that can help maintain blank blood sugar log glycemic control and enhance insulin sensitivity Steel cut oats in particular have a low glycemic index and can result in a more even glucose response Cod liver oil is a Vitamin D rich complement that helps glucose control by supporting the hormones that regulate insulin effectiveness in your body This elevated insulin effectiveness can shield you from kind 2 diabetes and can decrease your hemoglobin A1C worth Prebiotic meals can play a task in many well being conditions Prebiotics are a type of non digestible fiber that are generally present in many various foods.

Insulin is used in the administration of type 1 diabetes and some instances of sort 2 diabetes Insulin therapy has a properly known high blood sugar in the morning when fat adapted antagonistic side effect of hypoglycemia if its administration isn t managed effectively Patients with insulin dependent diabetes will profit from regular blood glucose monitoring Regular day by day blood glucose monitoring is beneficial for these with diabetes and insulin therapy Gestational high blood sugar in the morning when fat adapted diabetes is diabetes that develops during being pregnant.

So, having the ability to acknowledge the signs and signs high blood sugar in the morning when fat adapted of high blood sugar and maintaining blood glucose ranges .

Blood Sugar Chart And A1c Chart

in verify is vital for good health and diabetes prevention It results in problems with blood circulate, irritation, slow wound healing Therefore, knowing the indicators and signs of high blood sugar and preserving blood glucose levels in check is vital for good health and diabetes prevention High blood glucose is an What Causes Diabetes high blood sugar in the morning when fat adapted individualized problem, but figuring out its causes and symptoms will allow you to understand how it can affect your life Prioritizing sleep, nutrition, and regular doctor s visits are key for maintaining a healthy blood glucose degree Keeping monitor of new symptoms or adjustments in your health, like weight reduction, fatigue, or elevated thirst high blood sugar in the morning when fat adapted and urination can be important.

Using milligrams of glucose per .

Type 1 Diabetes Blood Glucose Monitoring

deciliter of blood urine smell indi es blood sugar mg dL for measurement, high blood glucose readings after a meal indicating prediabetes can fall between one hundred forty and 199 mg dL Levels reaching 200 mg dL two hours after eating indicate you could already be insulin resistant or diabetic, though that analysis will need to come from your doctor By comparison, the standard commonplace for regular glucose readings is to stay beneath 140 mg dL all through the day and beneath 100 mg dL after eight hours of fasting If blood sugar levels drop too low, a doubtlessly deadly situation referred to as hypoglycemia develops This may be manifested as weak point, drowsiness, shaking, irritability, sweating and so forth.

Talk to your physician about methods to stop smoking or to cease using other kinds of tobacco Get a flu shot every year, and your physician could suggest the pneumonia vaccine, as nicely In some individuals who have sort 1 diabetes, a pancreas transplant could also be an option With a profitable pancreas transplant, you would no longer need insulin remedy People with sort 1 diabetes need insulin remedy to outlive.

Lifestyle adjustments with a give consideration to reducing weight problems can forestall or delay the onset of diabetes in 58 of this population The patient and family should be referred to native and national assist and data groups and may require psychological counseling Diabetes is ranked third as a explanation for demise, though the life span of sufferers low blood sugar and drinking with diabetes has elevated due to improved strategies of detection and better management There isn t any remedy for diabetes these days, but monumental strides have been made in the control of the disease The affected person must perceive the importance of compliance with the entire therapy plan, together with food plan, train, and in some cases medication.

The stage of blood sugar is completely different all through the day So, it is important to analyze the blood sugar relative to earlier than and high blood sugar in the morning when fat adapted after high blood sugar in the morning when fat adapted a meal The manufacturing, storage, and regulation of the glucose degree in the blood is complex course of management by body organs such because the liver, small intensive, and pancreas If you may have different questions on your numbers or your ability to manage your diabetes, make certain to work carefully along with your doctor or well being care team Record the variety of carbs consumed inside the timeframe Additionally, report any medicines taken to reduce the blood glucose degree.

High levels of blood sugar may cause adjustments that result in a hardening of the blood vessels, what medical doctors call atherosclerosis High sugar levels slowly erode the ability of cells in your pancreas to make insulin The organ overcompensates and insulin ranges stay too high.

Type 2 diabetes can generally be managed with wholesome consuming and common train alone, but may also require medicines or insulin therapy Type 1 diabetes is an autoimmune disease and is also referred to as insulin dependent diabetes People with kind 1 diabetes aren t capable of produce their very own insulin and cannot regulate their blood sugar as a end result of their body is attacking the pancreas Roughly 10 per cent of people dwelling with diabetes have sort 1, insulin dependent diabetes Type low blood sugar let them sleep 2 diabetes is the most common analysis, adopted by type 1 diabetes Gestational diabetes happens throughout pregnancy, and is normally momentary.

These might embrace nausea, vomiting, dizziness on arising, intoxication, delirium, coma, or dying Patients with DM usually additionally sustain infected ulcerations of the toes, which can result in osteomyelitis and the need for amputation The physiology and treatment of diabetes are advanced and require a mess of interventions for successful illness administration Diabetic training and patient engagement are crucial in administration Patients have better outcomes if they will manage their food regimen , exercise regularly , and independently monitor glucose Lifelong remedy is usually needed to prevent unwanted complications.

Poor blood circulation within the legs and feet contribute to delayed wound healing The inability to sense ache together with the problems of delayed wound therapeutic can end result in minor injuries, blisters, or callouses high blood sugar in the morning when fat adapted turning into infected and difficult to deal with In circumstances of extreme an infection, the infected tissue begins to break down and decay away The most severe consequence of this situation is the need for amputation of toes, toes, or legs due to extreme an infection.

So do folks globally who live in colder, northern climates Furthermore, kind 1 diabetes onset is extra prone to occur within the winter months It has been noticed to be triggered by viral infections high blood sugar in the morning when fat adapted A latest examine discovered that people who stored a food diary misplaced twice as a lot weight as those who didn t A written record helps you determine drawback areas such as your afternoon snack or your morning latte where you re getting extra calories than you realized It additionally increases your awareness of what, why, and the way much you re eating, which helps you cut back on mindless snacking.

The variety of folks with diabetes in China is estimated to be 1 in 10 out of Chinese grownup Dabelea, D, Mayer Davis, E J, Saydah, S, Imperatore, G, Linder, B, Divers, J, Hamman, R F, for the SEARCH for Diabetes in Youth Study Prevalence of kind 1 and sort 2 diabetes amongst youngsters and adolescents from 2001 to 2009 Menke, A, high blood sugar in the morning when fat adapted Orchard, T J, Imperatore, G, Bullard, K M, Mayer Davis, E, Cowie, C C With kind 1 diabetes, you additionally will want to take insulinthrough pictures or an insulin pump Type 1 diabetessymptoms are often extra extreme and should develop abruptly.

Knowing your blood sugar ranges helps you manage your diabetes and reduces your threat of having critical issues now and in the future Gestational diabetes calculator checks post prandial and fasting blood sugar stage to inform in case you have being pregnant diabetes Know about gestational diabetes food plan and more utilizing this calculator.

Many foods have Arcondicionadoautomotivok2 high blood sugar in the morning when fat adapted forms of carbohydrates known as starches and sugars When you eat meals with these types of carbohydrates, your physique breaks them down into glucose, which is a sort of easy sugar, and releases high blood sugar in the morning when fat adapted the glucose into your bloodstream Aside from glucose produced by your liver, meals is the main source of plasma glucose If you ve been advised to low blood sugar placenta look at your blood sugar levels, you could really feel a bit overwhelmed There is plenty of information to grasp, and it s onerous to maintain observe of the entire high blood sugar in the morning when fat adapted different numbers and what they mean high blood sugar in the morning when fat adapted Having a glucagon equipment helpful is a lifesaver in case of low blood sugar levels.

These nutrients are necessary for stabilizing blood sugars and stopping heart disease When buying nut butter, at all what of statin raises your blood sugar times read the components list on the vitamin label as many brands are inclined to add sugar to their nut butter How To Know If You Have Diabetes hyperglycemia opposite low blood sugar Choose an choice that solely has nuts or nuts and salt because the components No matter whenever you ate last, a random blood sugar degree of 200 mg dL or greater suggests diabetes Feeling tired could also be the most common early signal of excessive blood sugar, Dr Hatipoglu says Someone who has been recognized with diabetes will be conversant in how it feels to have hyperglycemia.

It includes a unique mix of over 15 herbs, including things like yarrow 52 blood sugar flower and cinnamon Doctors could prescribe insulin injections or different treatment to help manage blood sugar levels all through the day Be sure to examine with your physician earlier than beginning any new medicine Nicotine has an analogous impact as alcohol in your body s insulin production Tobacco products increase your blood sugar and improve your risk of diabetes.

Type 1 diabetes is considered caused by an autoimmune reaction that stops your body from making insulin Approximately 5 10 of the individuals who have diabetes have sort 1 It s usually identified in kids, teenagers, and younger adults If you ve sort 1 diabetes, you ll must take insulin daily to outlive There isn t a cure yet for diabetes, however shedding weight, maintaining a healthy diet food, and being energetic can actually help.

Instead of the type or quantity of meals you eat, you should give attention to the quantity of nutrients you re including to every meal Here are some of our favourite nutrient dense foods from around the world to assist you get began This week, dive into tips on how to eat your carbs and manage your blood sugar, What Causes Diabetes high blood sugar in the morning when fat adapted too with Molly Downey, RDN, LDN Glucose is current in your saliva in addition to your blood When there s too much of it, it helps harmful bacteria in your mouth grow and combine with food particles to create plaque, the NIDDK 97 fasting blood sugar for kids explains.

Once sufficient alcohol has been eliminated, your liver will regain the flexibility to launch sugar It can happen throughout a date, during a business assembly, or even while driving, which is the most harmful state of affairs if there might be confusion or lack of consciousness while behind the wheel It s essential to use your blood glucose meter to verify your blood sugar earlier than you drive to maintain yourself and others secure.

While insulin resistance How To Know If You Have Diabetes hyperglycemia opposite low blood sugar is a element of T2DM, the full extent of the disease outcomes when the affected person has inadequate production of insulin to Blood Sugar Levels Chart By Age high blood sugar in the morning when fat adapted compensate for their insulin resistance T2DM includes a more insidious onset where an imbalance between insulin levels and insulin sensitivity causes a functional deficit of insulin Insulin high blood sugar in the morning when fat adapted resistance is multifactorial but commonly develops from weight problems and getting older Review the remedy issues and customary complications high blood sugar in the morning when fat adapted of diabetes mellitus But with diabetes, a quantity of major issues can go mistaken to trigger diabetes.

Diabetes is classified into differing kinds, based high blood sugar in the morning when fat adapted on the assorted How To Know If You Have Diabetes hyperglycemia opposite low blood sugar causes The treatment will vary, relying on what s causing the problem It is essential to know what sort of diabetes you have because your type of diabetes may have to be managed in a special way .

Testing Blood Sugar Levels With Type 2 Diabetes

from someone else s.

PregnancyGestational diabetesis a hyperglycemia opposite low blood sugar Normal Blood Sugar Levels sort of diabetes that happens solely during being pregnant Although gestational diabetes goes away after pregnancy, about half of ladies who had gestational diabetes are diagnosed with sort 2 diabetes inside 15 blood sugar acting drunk years Even if they don t have gestational diabetes, women who give delivery to infants who weigh 9 pounds or extra are more probably to develop sort 2 diabetes later in life The American Academy of Family Physicians recommends screening for gestational diabetes in pregnant girls after the 24th week of being pregnant The AAFP believes there might be not enough evidence to determine the profit and hurt of screening for gestational diabetes in high blood sugar in the morning when fat adapted pregnant ladies before the 24th week of pregnancy.

A blood sugar high blood sugar in the morning when fat adapted stage of 126 milligrams per deciliter mg dL or larger on 2 occasions indicates diabetes A blood sugar stage of one hundred mg per dL to 125 mg per dL high blood sugar in the morning when fat adapted Symptoms Of Low Blood Sugar counsel you have prediabetes People who ve sort 2 diabetes also might present indicators of insulin resistance This contains darkening pores and skin around the neck or within the armpits, high blood pressure, ldl cholesterol problems, yeast infections, and skipped or absent periods in teen women and girls Other forms of diabetes embrace gestational diabetes, which some women may go on to develop rising blood sugar without eating throughout being pregnant.

All lectures are offered by high profile scientists from one the world s leading universities in diabetes analysis As the placenta grows, extra of these hormones are produced, and the chance of insulin resistance becomes greater In later phases, it s essential to start out treatment instantly especially when you have changes in your vision.

Cardiovascular issues together with coronary artery illness, chest pain, coronary heart attack, stroke, hypertension, excessive cholesterol, atherosclerosis Some 342 million folks of all ages Blood Sugar Levels Chart By Age high blood sugar in the morning when fat adapted about 1 in 10 have diabetes in the us Some 73 million adults aged 18 and older are unaware that they ve diabetes just underneath 3 of all US adults The variety of people who are diagnosed with diabetes increases with age Insulin is a hormone made by your pancreas, an organ positioned behind your stomach.

This helps hold your insulin or medication and sugar levels regular Avoid empty energy, high blood sugar in the morning when fat adapted similar to foods excessive in sugar and fats, or alcohol Exercising and sustaining a wholesome weight can scale back your risk of diabetes Try to exercise for 30 to 60 minutes most days of the week Always discuss together with your doctor earlier than beginning an train program.

Readfood labelsto help you select foods low in saturated fat, trans fats, and sodium Type 2 diabetesmay not trigger any signs or signs at first A risk issue is one thing that puts you at a higher threat for a disease compared to the typical individual Diabetic neuropathy also can have an effect on nerves to the abdomen and intestines, causing nausea, weight reduction, diarrhea, and different signs of gastroparesis.

But when someone has diabetes, this finely tuned system gets thrown out of whack In sort 2 diabetes which accounts for 90 to 95 of diabetes in adults, in accordance with the CDC the body either can t make sufficient insulin or can t make the most of insulin well, in accordance with the NIDDK If someone has prediabetes, their blood glucose shall be higher than normal however not quite within the type 2 diabetes range but, per the NIDDK And in sort 1 diabetes, the body doesn t make insulin or makes very little Clients throughout the life span with diabetes have various clinical displays.

A blood sugar stage vary between one hundred forty and 199 mg dL signifies prediabetes Keeping monitor of blood sugar ranges is crucial for individuals with diabetes Recording your blood glucose and sugar readings in a printable blood sugar chart is a handy way to identify patterns If you are obese, dropping simply 5 of your body weight can make a distinction in your blood sugar control if you have prediabetes or sort 2 diabetes.

Always carry a sugary snack or drink with you, similar to glucose tablets, a carton of fruit juice or some sweets If you ve a glucagon injection package, always keep it with you Very sometimes, it could occur in individuals who do not have high blood sugar in the morning when fat adapted diabetes.

To decrease your stress ranges, What Causes Diabetes high blood sugar in the morning when fat adapted try activities like mindfulness workout routines, deep respiratory, meditation, and yoga Oatmeal and barley are especially good whole grain choices for most people with high blood sugar Blood sugar is our supply of energy, and we want it to perform correctly, however in some people, it may possibly attain extreme levels With high blood sugar, there might be excess glucose within the patient s saliva.

She has multiple well being, safety and lifesaving certifications high blood sugar 600 level from Oklahoma State University Alina s objective in life is to strive as many experiences as possible To date, she has been a volunteer firefighter, a dispatcher, substitute teacher, artist, janitor, children s guide author, pizza maker, occasion coordinator 98 blood sugar and rather more To diagnose diabetes, we do an oral glucose tolerance test with fasting, Myers mentioned.

The balance between meals intake and insulin production is necessary to keep maintained in order that they ll work together When there isn t sufficient sugar to go around, the liver hoards the resource for the components of the physique that want it, including the brain, pink blood cells and parts of the kidney For the rest of the body, the liver makes ketones , which breaks down fats to make use of as fuel The high blood sugar in the morning when fat adapted strategy of turning fats into ketones known as ketogenesis.

Many of those dietary supplements contain things like cinnamon or berberine, which have both lowered blood sugar levels in scientific trials These supplements are not cures, however they ll add to your general success, especially when paired with a nutritious diet While this complement Blood Sugar Levels Chart By Age high blood sugar in the morning when fat adapted is designed to help your blood sugar ranges first and foremost, it can also help weight reduction and scale back sugar absorption Be aware of how, when, and why your blood sugar fluctuates Even should you observe a strict diet and exercise plan, your blood sugar levels may change unpredictably, especially if you have diabetes.

Higher glycation occurs with elevated blood sugar concentration, which might explain why hyperglycemia could cause high blood sugar in the morning when fat adapted issues corresponding to coronary heart attack and stroke At the same time, glycated particles similar to LDL low density lipoprotein or dangerous kind of cholesterol are more susceptible to oxidation As a outcome, oxidized LDL induces the atherosclerosis course of The other kind is postprandial or after meal hyperglycemia, which happens when your blood sugar is greater than a hundred What Causes Diabetes high blood sugar in the morning when fat adapted and eighty mg dl two hours after a meal People with out diabetes not often have blood sugar higher than 140 mg dl after a meal except it s How To Know If You Have Diabetes hyperglycemia opposite low blood sugar a giant one.

Women who experience gestational diabetes have a higher risk of creating sort 2 diabetes in the future Regulation high blood sugar in the morning when fat adapted of blood glucose to normal or nearly regular levels, each earlier than and after meals Tight control of blood sugar has been shown to improve the survival of sufferers in intensive care models and to forestall long term issues of DM, eg, blindness, nerve damage, and kidney failure.



©2000-2023. All Rights Reserved.