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For some, cake decorating is a hobby, and for others, it is a career. The amateurs are those who find it fun and gratifying to bake the cakes and then decorate them for their family and friends, saving money by doing it themselves. With expert training along with good decorating tips and ideas, anyone can master this art. With this art form, you will be able to stretch your imagination. If you continue building your skills, you will experience the joy of making others happy with your expertise. The art of decorating cakes takes place when a man or woman has turned the kitchen into an art studio. When a cake is decorated in an artistic design it is pleasing to both the creator and the recipient. Creating a cake does not have to be a stressful experience, you just need to get creative. Don't be afraid to try new ideas and techniques. For the amateur, it is the simple cake decorating tips, which are the best ways to help you get started. Decorating can be as simple as using a stencil and dusting confectioner's sugar or cocoa powder on the top of a cake. Cakes can be iced with buttercream, royal fondant, or cooked icing. Adding to the icing cakes can be topped with flowers, spun sugar, or candy. Cakes can be created to look like a hot dog, pizza, or just about anything you have the imagination to create. If you want to be an amateur cake decorator, you will need to learn the basics and pick up as many of the tips you can. There are many tips and ideas widely available. You may decide to continue making and decorating cakes as a pastime or you may decide to look into making a career out of decorating and baking cakes. Whatever your desires or your goals when it comes to cake decorating, now that you are armed with this guide dedicated to cake decorating mastery, you will become a force to be reckoned with and win the envy and admiration and praise of those around you... all while having incredible fun as you go! GETTING STARTED... To begin decorating, you will need to ensure that you have all of the decorating tools needed. Tips (otherwise called tubes) are an integral part of decorating cakes. Tips are simple metal cones, which you squeeze icing or a medium through to form different shapes and designs. The size and shape of the opening on a decorating tube determine the type of decorations the tip will produce. There are 7 basic decorating tip groups: round, star, leaf, drop flower, rose, basket-weave, and specialized. A new decorator should have at least one or two tips from the first five tip groups. Then, as you become more proficient in your decorating you will want to expand your collection with tips from other groups. Today, we will walk you through the process of trimming and splitting a cake into layers, icing it, and then finishing it with a few simple decorating techniques. Don't worry; you won't need a pastry bag or tips, just a little patience. We recommend that you equip yourself with a few tools that can make all the difference in the finished appearance of the cake and minimize your frustration: - a long serrated knife for trimming and cutting - a 10-inch flexible icing spatula - cardboard rounds, and, ideally, a rotating cake stand. For an alternative to the rotating cake stand, improvise by setting a dinner plate upside down on top of an upside-down cake pan. The cake won't spin freely, as it does on a rotating cake stand, but this arrangement does elevate the cake and gives you an edge to grip and spin. LEVELING AND SPLITTING THE CAKE A cake can be cut into layers, or cakes baked separately can be layered together. Either way, level cakes are much easier to ice than mounded ones that must be supplemented with an overabundance of icing. Use a long serrated knife to level an uneven cake and/or to cut it into layers. When the cake has cooled completely, set it on a cardboard round that is cut about 1⁄8 inch larger than the cake. Place the cake close to the edge of the counter for more clearance when cutting. First, determine the cake's lowest point. Steady the cake by gently pressing an outstretched hand on its surface. Holding the knife parallel to the work surface and using a steady sawing motion, begin cutting at the same level as the cake's lowest point, slicing off the mound. Remove the trimmed area. If you are cutting the cake into layers, measure the height of the cake (that has been leveled, if necessary) and cut a small incision into the side with a paring knife to mark the desired thickness of your layers. Repeat every 3 or 4 inches around the circumference of the cake. With a serrated knife held parallel to the work surface, cut superficially into the cake. Then, with an outstretched palm gently pressed on the surface, slowly spin the cake away from you while pulling the knife toward you. The goal is to connect the incisions and score the cake, not slice it, to create a clearly defined midpoint. Following the midpoint-marking, cut deeper and deeper in the same manner. Gradually move the knife closer to the cake's center with each rotation. When the knife progresses past the cake's center, the cut is complete. Carefully slide the knife out then remove the cake from the cardboard round. ICING THE CAKE When filling and icing a cake with butter-cream frosting, the challenge is to prevent crumbs from catching in the icing. To help frosting spread more smoothly, get rid of loose crumbs with a pastry brush. Cold icing is difficult to spread and pulls on the surface of the cake, so if you've made the icing ahead and chilled it, give it ample time to warm and soften. Also, placing the cake's sturdy bottom crust face-up on the top layer minimizes crumbs and provides distinct, clean edges that are easy to ice. Spreading a thin coating of frosting on the sides helps seal in any crumbs, allowing for a smoother overall look. Finally, applying a base coat, or "crumb coat," of icing seals in loose crumbs so that they do not mar the cake's appearance. To anchor the cake, spread a dab of frosting in the center of a cardboard round cut slightly larger than the cake. Center the upper layer of a split cake crust-side up or one cake of separately baked layers bottom-side up on the cardboard round. Spread a dab of frosting on the center of the cake stand, then set the cardboard round with the cake on the stand. Place a large blob in the center of the cake and spread it to the edges with an icing spatula. Imagine that you are pushing the filling into place rather than scraping it on as if it were peanut butter on a slice of toast. Don't worry if crumbs are visible in the icing; since the filling will be sandwiched between layers, these crumbs will not be noticeable. To level the icing and remove any excess, hold the spatula at a 45-degree angle to the cake and, if using a rotating cake stand, turn the cake. If you're not using a rotating stand, hold the spatula at the same angle, and, starting at the edge farthest away from you, gently drag the spatula toward you. It will take a few sweeps to level the icing. Using second cardboard round, slide the top cake layer crust-side up on top of the frosted bottom layer, making sure that the layers are aligned. Press the cake firmly into place. A thin base coat of icing helps seal in crumbs. To coat the top, place a blob of icing in the center of the cake and spread it out to the edges, letting any excess hang over the edge. Don't worry if it is imperfect. Scoop up a large dab of icing on the spatula's tip: Holding the spatula perpendicular to the cake spread the icing on the side of the cake with short side-to-side strokes. Repeat until the entire side is covered with a thin coating. Refrigerate the cake until the icing sets, about 10 minutes. Apply a final thick coat of icing to the top and the sides, following the steps above, making sure that the coat is even and smooth. When icing the sides, apply a coat thick enough to cover and conceal the cardboard round. Dipping the spatula into hot water will help create a smooth coat. As you ice the top and sides, a ridge will form along the edge where they meet. After you've finished icing, hold the spatula at an angle, and, with a very light hand, starting at the farthest edge of the cake, smooth the ridge toward the center. Rotate the cake and repeat until the ridge no longer exists. SOME FINISHING TOUCHES With a perfectly coated cake, you've got a base on which to apply some finishing touches to give the cake a polished look. You can just add simple ingredients like flaked coconut or almonds, or chocolate shards, or sprinkles or what have you, and this can look truly lovely and simple... BUT if you want to take your cake decorating and all those finishing touches and flourishes to the next level, then you need to dedicate yourself to a good decorating guide or road map. And I have just the guide for you! It's called Cake Decorating Genius, and all the wonderful information and advice presented above were gleaned from this incredible book. I wanted to uncover all the insider secrets and tips in the area of cake decorating for you, and so we've created and compiled the most comprehensive manual that you will ever read! We worked with all the top experts and professionals in the field to bring all this incredible content together, and believe me, this is information that will truly take your cake decorating skills to an impressively high level! 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Indian Astrology It is significant that Healing with Astrology be published as we prepare for the next millennium. Since the 1950s we have witnessed many old forms of healing being revived as the natural healing movement gained momentum. We have also witnessed increased awareness concerning the healing of the Earth and the beginnings of the eco-feminism movement. Here is how the signs, houses, and planets break down by element: Elements: Fire, Earth, Air, and Water Fire: The signs Aries, Leo, and Sagittarius; the first, fifth, and ninth houses; and Mars, the Sun, and Jupiter; also the planetoid Chiron (the wounded healer with his bow and arrow), which is often associated with Sagittarius. Earth: the signs Taurus, Virgo, and Capricorn; the second, sixth, and tenth houses; the planet Saturn; and the asteroids Ceres (the Earth Mother and goddess of grain) and Vista. Air: The signs Gemini, Libra, and Aquarius; the third, seventh, and eleventh houses; the planets Mercury and Uranus; and the asteroid Pallas. Water: The signs Cancer, Scorpio, and Pisces; the fourth, eighth, and twelfth houses; and the Moon, Neptune, Pluto, and Venus. Also, the asteroid Juno, the goddess of marriage traditionally associated with Libra has come to have a self-sacrificing aspect and an association with Pisces as she was deceived by Zeus many times. Indian Astrology Cardinal Signs - The Cardinal signs are the signs that begin each season: Aries and Libra, the equinoxes, and Cancer and Capricorn, the solstices. They correspond to the angular houses: the first, fourth, seventh, and tenth. Cardinal energy is one of the action, duty, and responsibility. Those who have an emphasis of cardinal planets or planets in angular houses tend to solve their problems through outward action and relationships rather than through inner scrutiny of psychological motives or by adapting to outward circumstances. Cardinal emphasis leads to initiation of new projects, being out in the world. Sun - LEO The Symbol of the Sun is a circle with a dot in the center, representing the vitality and ego of each being, The Sun radiates light and power as each individual radiates out from the core center or nucleus. Jus as the Sun is in the center of the galaxy, so the Sun in the astrological chart represents the essence or center of one's being. It also stands for any mare figure as father, husband, or other figures of authority. 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Job Application - Why Yours Was Rejected It is only once their job application has been rejected, that most job seekers get an insight into why their job application failed. Unfortunately, this tells them that with some forethought, they could have figured this out for themselves. Let me help you avoid these common mistakes, and give you some insider advice on how to maximize your job application success Job Application: it's a personnel thing All job applications do not start with the job seeker, but with the employer. A job is approved inside an organization through the combination of two forces: Business need The manager of the team in which the job will be fulfilled This is an important insight, as it should tell you that the final decision on who is employed is made by that manager and that the successful job applicant will be considered the ablest to deliver the defined business requirements. The result of these two forces is the creation of a job description, from which the job advert is derived. Only after the job is approved to this stage, does job application become a personnel process. But not recognizing the human beings wholly in the personal exchange - the manager and the successful jobholder - is a key mistake of many job applicants You and Your Job Search A job application starts long before you start reading newspapers, crawling job boards, trudging to the Job Centre, or chatting to friends. Your job search starts with you, and a clear definition of: Who and what you are What you hence offer What you want to do/see yourself doing long term If you don't know what you want to do, then any job will do, and hence multiple job application rejection will follow Job Market testing Although you now know what you want to do, the jobs market may then not want those exact skills, in that search geography, for the pay level which makes economic sense to you. You need to test that the job market is offering that job at the right pay level, and this is where the real advantage of the job board driven job search becomes apparent. Go to your favorite jobs board, keeping the title/skills consistent, and setting the pay level to zero. Then open the geographic search criteria until the result shows at least 20 jobs. If you can't find at least 20 suitable jobs, then your ideal job presently doesn't exist in the job market. Either: go back to stage1 and think of another interim step to your ideal long term job; wait three months, or accept constant job application upset. The second problem at this stage is having too many jobs to apply for. Again, go to your favorite jobs board, and if after filling in your desired criteria there are more than 100 job results returned, then go back and more closely define what you offer an employer/seek next and long term. Falling into any job will do syndrome means that you are not focusing sufficiently in the eyes of the employer on what you can do well/offer, and hence will be rejected. Professional CV Although it disappoints me to say it, as a Professional CV Writer if you approach your job search in a particular manner, you don't need a Professional CV. But, for 95% of job applications, you will at some point in the legal and hence defined HR process need a CV. In the modern world, one-size-fits-all CV just won't get you the required telephone interview: the only output action required when an employer takes when presented with a good CV. If like many today you heard a friend or someone in a pub used a free template successfully to get employed, make sure you don't follow the herd: templates mean you don't stand out from the crowd. Good Professional CV Writers create engaging 2page documents that make employers pick up the telephone because they communicate that the job applicant has the desired skills to fit the job description and show social fit with the organization/manager. If your template doesn't, however pretty it is or however long your list of hobbies and interests, expect to be rejected Job Application Form The one thing that job seekers fail continually to understand, and yet employment professionals do, is that you can't beat the odds of where you find and how you apply for jobs. For instance, as an internal employee offered a promotion, your chances are 90%. For a known person interacting directly with a recruiting organization, your chances are around 50%. Your best chance of getting employed via a public job advert, be that on a company website or via newspaper, are around 12% on average. Whereas a "follow the process" application via a job sourced on a jobs board could easily be as low as 2% So why do so many job seekers think that they will be successful spending more than 10% o the time on job boards? Rejection is bound into and dictated by the where you find jobs and how you apply Job application confidence This is the last point of job application rejection, and it is a general issue throughout the current job-seeking world: personal confidence. Job seeking in itself is a job, and it is a tough one. There is research, marketing, paperwork, cold calling, direct costs, and worst of the lot: a high-level rejection. Even the successful job seekers will be rejected at least once, which means that their success ratio is 50%. I haven't yet met an unsuccessful job seeker who was in some way lacking in self-confidence. It is one of the reasons that I decided to in part cross the divide and become a CV Writer because universally in most job searches the CV is a common point. If you read through this article, and are still wondering why you are rejected, then after looking in the mirror get out with friends and family and remember what's important. After taking a break for a day or two, then go back to applying for jobs with renewed vigor, and seek some help in your job search. In Part2, we will cover the actual job application process. 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How to Land a Career in the Government Using Government Job Search One job that offers much security is a job in the government or a job offered in universities. When you are a government employee, chances are you are well compensated and all the benefits that you can get are offered to you easily. You are even protected by a union that can shoulder all your legal needs. This is the reason why more and more people are looking for careers in the government especially now that we are still on the brink of the recession, and one way to refine their search is by using a government job search. Like all the other searches for other fields of expertise, a government job search is one way of letting the public know of job openings in the government. There are numerous ways on how to land a career in the government using a government job search. One way is to brush through the classified ads of local newspapers found in your area; you may find government-related jobs posted here. Another way is to refine your search and go online. There are a lot of sites offering a government job search where you can find a host of jobs. Most government agencies are using the power of the internet not only to inform but to recruit workers as well. You can visit the specific websites of various government agencies and check whether they have job openings where you can apply. Most of these websites list all the requirements that you need to have before you can be a candidate for the job vacancy, and since it is the government we are talking about, be ready to be subjected to a host of background checks. Here are some websites that you can go to with your government job search: a pioneer when it comes to online recruitment is governmentjobs.com. Over 5,000 participating government agencies warrant the faculties presented by this website. The website is specifically designed to cater to persons looking for all sorts of government-related jobs. You can also visit 50statejobs.com where you can find the full list of all government agencies looking for workers ranging from your local government and other universities. The use of a government job search can only take you too far in your quest of landing that job in the government. You should be ready with an impressive resume and related experiences to back you up if a government agency contacts you for an interview. 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Statins And Diabetes Diabetes is a relatively common illness that impacts millions of people. A person is said to be diabetic if his or her ability to create and/or respond to insulin is impaired. This means the body cannot process food for energy in the normal way that it should. The body's lack of insulin or the misuse of it causes an elevated glucose level and abnormal metabolism of carbs. This article will discuss both statins and diabetes as well as how to spot the symptoms of diabetes and ways to support healthy living with diabetes. TYPES OF DIABETES Diabetes is typically divided into two types: type 1 and type 2. Type 1 diabetes is sometimes called insulin-dependent, and it can also be referred to as juvenile-onset diabetes. This form of the disease can develop at any age. However, in most cases, it presents itself before a person has reached adulthood. Type 1 is the least common of the two types, as it accounts for only about 5% to 10% of total diagnosed cases. Some risk factors for type 1 diabetes are genetics and family history. For instance, a person who has a parent or a sibling with the disease is slightly more likely to develop it. Some research also shows that autoimmune factors can lead to the development of type 1 diabetes. SOME AUTOIMMUNE DISEASES THAT CAN POTENTIALLY INCREASE THE RISK OF DIABETES ARE AS FOLLOWS: Thyroid disease Addison's disease Gastritis Celiac disease Type 2 diabetes is also known as non-insulin-dependent or adult-onset diabetes. Most diabetics have type 2. Estimates show that about 90% of diabetes cases are classified as type 2. SOME RISK FACTORS FOR TYPE 2 ARE AS FOLLOWS: Advanced age Obesity History of gestational diabetes Family history of diabetes Impaired tolerance for glucose Lack of regular physical exercise In addition to the above risk factors, certain races and ethnicities are more likely to develop diabetes. If you are black American, Latin American, Native American, or Asian American, you might be slightly more likely to develop type two diabetes. In a small percentage of pregnancy cases, a woman will develop diabetes. This form of the disease is called gestational diabetes, and it typically goes away at the end of the pregnancy. However, in some cases, a woman who develops gestational diabetes goes on to develop diabetes later in life. Gestational diabetes tends to occur more frequently in Hispanics, blacks, Asians, and American Indians. It is also more likely to appear in those who have a family history of diabetes. In a very small percentage of cases, people get diabetes as a result of an infection, surgery, or a genetic disorder. Malnutrition also accounts for a small percentage of cases. SYMPTOMS OF DIABETES For some diabetics, the warning signs may be mild and almost unnoticeable. Some diabetics don't know they have the disease until they are treated for another health concern. This is especially the case for many type 2 diabetics. However, with type 1 diabetes, symptoms tend to be more severe and they may happen suddenly and unexpectedly. SOME SIGNS OF DIABETES TO LOOK FOR ARE AS FOLLOWS: Hunger Thirst Frequent urination Fatigue or weakness Blurry vision Dry mouth Itchy skin Sores and cuts that are slow to heal Yeast infections Numbness in feet or legs Pain in feet or legs The above symptoms most frequently occur at the early onset of the disease and are especially prevalent in type 2 diabetics. Type 1 diabetics might also experience some unexplained weight loss. This weight loss may occur even in those who have not changed their exercise or eating habits. The weight loss is a result of the body not getting enough energy from food. Thus, the body burns fat and muscle, which results in weight loss. Type 1 diabetics are also susceptible to both vomiting and nausea. This is caused by the body's process of burning fat. When fat is burned, a diabetic can develop ketones. Ketones are chemicals made in the human liver. Everyone has them. However, in diabetics, when too many ketones are produced, the body cannot use them for fuel in the way they are supposed to. This results in a diabetic feeling nauseated and also vomiting. In the worst-case scenario, too many ketones can be fatal. A person's ketone level can be monitored at home using either a blood test or a urine test. These testing devices are available for purchase over-the-counter. Both tests can, of course, also be given at a doctor's office. A patient should check his or her ketone level when pregnant and also when feeling physically injured or sick. A blood sugar level above 250 mg/dl also indicates that a person might have a high level of ketones, and thus the ketone level should be checked regularly. WHAT ARE STATINS? Statins and diabetes: Statins are a specific type of drug often prescribed to treat patients who have high levels of LDL cholesterol, also known as harmful or "bad" cholesterol. LDL is considered the bad cholesterol because it deposits fatty residue in a person's arterial walls located in the brain and heart. As these fat deposits build-up, the arteries can be blocked. A blockage can lead to a stroke or a heart attack, both of which can be fatal. With Statins and diabetes, statins work by blocking a substance in the liver used to make LDL cholesterol. Fortunately, with statins and diabetes, statins benefit patients with high cholesterol by lowering LDL cholesterol. IN ADDITION TO LOWERING A PATIENT'S RISK OF SUFFERING A STROKE OR HEART ATTACK, STATINS ARE ALSO USEFUL IN THE FOLLOWING WAYS: heart attack, statins, and diabetes Decrease inflammation Lower the risk of developing blood clots Improve and strengthen the lining of blood vessels While statins perform many important functions in the body, the FDA (Food and Drug Administration) has recently cautioned diabetics about taking statins. While the use of statins and diabetes does help, the FDA has warned that statin use may raise a patient's risk of developing diabetes type 2. This puts people in a quandary because so many patients with heart disease and high LDL cholesterol need statins to lower LDL cholesterol. However, if a patient has a history of cardiac trouble or suffers from heart disease, taking statins may be necessary, regardless of the risk of developing type 2 diabetes. WHO SHOULD TAKE STATIN DRUGS? Not every patient with a heart problem needs to take statins. According to some heart specialists, several groups can benefit from statins. The first group includes those who are at risk for cardiovascular disease but have not developed the disease. The second group of people who might benefit from statins would be those who are at high risk for heart attack and also have risk factors for cardiovascular disease. Smokers, those who have hypertension, diabetes, and/or high cholesterol all fall into this second group. The other group of people who could benefit from learning about statins and diabetes are those who have already been diagnosed with cardiovascular disease. This group includes those who have atherosclerosis, a term used to describe hardening of the arteries, and patients that have already suffered from a stroke or heart attack caused by a blood vessel blockage. People who have a history of surgery to repair or replace coronary arteries and those with peripheral artery disease all fall into this last group. Two other groups, who may benefit from understanding statins and diabetes, are those who have excessively high LDL cholesterol and patients who have diabetes. This high LDL cholesterol group includes those whose cholesterol reads at least 190 mg/dl. THE DIABETIC GROUP THAT MAY BENEFIT MOST FROM STATINS AND DIABETES INCLUDES INDIVIDUALS WHO FIT INTO THE FOLLOWING CATEGORIES: People who have an LDL reading between 70 and 189 mg/dl Those who show risk factors for heart disease Those who show signs of vascular disease Smokers Those over 40 years old People with hypertension Some experts recommend starting low to moderate dosages of statins for adults aged 40 to 75 who display at least one risk factor for the cardio disease. A low to moderate dose is also recommended for those who have the cardio disease and have at least a slight chance of having a cardiac episode within the next decade. If a heart patient is concerned about type 2 diabetes, then he or she should speak with a physician about their options. This is especially true for patients who have a family history of diabetes and also for those who think they may already show signs of the disease. Sometimes, a doctor might recommend a different statin or a different dosage for a patient who is at risk of developing diabetes. ADVERSE HEALTH EFFECTS OF STATINS In addition to raising a person's risk of developing type 2 diabetes, statins and diabetes also have several worrying side effects. Among the most common side effects are as follows: Mental lapses or fuzziness Liver damage (in rare cases) Muscle pain Digestive problems Not everyone who takes statins will experience the side effects listed above. Patients who take multiple drugs to treat high cholesterol are at a greater risk of developing the above side effects. OTHER RISK FACTORS THAT MAKE A PATIENT MORE SUSCEPTIBLE TO SIDE EFFECTS FROM STATIN DRUGS ARE AS FOLLOWS: Having a petite body Being female Advanced age (age 80 and above) Excessive alcohol use Liver disease Having hypothyroidism Kidney disease Having amyotrophic lateral sclerosis HOW TO COMBAT PREDIABETES A person is said to have prediabetes if he or she has elevated glucose levels and is at great risk for developing type 2 diabetes. Typically, a physician will help a patient manage their prediabetes by cutting the most simple sugars from his or her dietary plan. To learn more about statins and diabetes, a patient should direct questions to their doctor or another healthcare provider. This is especially important because two diabetics might have slightly different health concerns and treatment plans. What works for one patient may not work for another. RISK FACTORS FOR PREDIABETES ARE AS FOLLOWS: Being overweight Advanced age (over 45 years old) Family history (a sibling or parent already has the disease) Do not exercise regularly (Most experts suggest exercising at least three times weekly, if possible) Have birthed a baby larger than nine pounds Have ever developed gestational diabetes If you are black, Latino, Asian or Native American It is possible to reverse prediabetes or outright prevent it with some basic lifestyle changes. For instance, an overweight person could lose weight by changing eating habits and exercising regularly. Most physicians can recommend steps a patient can take to lose weight and eat healthier. HOW TO MANAGE DIABETES In most cases, type 1 diabetes is treated with injections of insulin. Type 1 diabetics should also monitor the amounts of carbs and sugars they consume and also check their blood sugar frequently. Type 2 diabetics should also monitor their blood sugar readings and take either insulin or oral medications or sometimes both. A physician can help a patient develop an individual and personalized care plan that involves both a dietary plan and an exercise regimen. Some family doctors will recommend that a diabetic be treated by a specialist who has handled many diabetes cases. A doctor or specialist can also inform the patient of their target glucose reading range. That way, when the patient consistently tests above that range, the patient knows to contact the doctor. Diabetics usually check their blood sugar at home. Some may even be required to check their reading multiple times per day, especially if the patient takes insulin. Careful blood glucose monitoring is the best and most efficient way to ensure the reading stays within a healthy range. In addition to checking blood glucose levels, daily insulin injections are required for many diabetics. Several specific kinds of insulin are available for use. Patients may use long-acting insulin, rapid-acting, or intermediate insulin. Some patients use a variety of different types, and this depends on their needs and the doctor's specific instructions. Insulin tablets are ineffective because swallowing insulin orally would enable stomach acids to weaken the effects of insulin. Most often, diabetics inject insulin using a small needle or insulin pen. Insulin pumps are now available, too. The pump is a small device worn outside the patient's body. It can fit in a pocket or on a belt and is about the size of a cellular phone. A small tube connects a catheter under the skin to a small reservoir of insulin. One other option is the tubeless pump, which dispenses a certain amount of insulin. The specific amount is programmed into the pump. However, the amount can be adjusted to pump less or more insulin, depending upon physical activities performed, the recent meals consumed, and the current blood sugar reading. In addition to insulin injections, some diabetics must also take oral medications. These medicines stimulate the patient's pancreas so that it creates and releases more insulin. Other drugs prescribed for diabetics block processes in the stomach and intestines that break down carbs. Some other oral meds block the production of glucose from the liver. As a result, a person needs less insulin to move the sugars into the body's cells. A pancreas transplant is an option for some patients, though these risky surgeries are not often recommended. As with any organ transplant, there are many risks involved. For instance, if a patient undergoes transplant surgery, he or she must also take many drugs in an attempt to ensure the body does not reject the organ. The downside is that drugs have many serious side effects. The risks and side effects are so severe that in most cases physicians don't recommend transplants. However, in successful transplant cases, the patient no longer requires insulin therapy. Some diabetics undergo stomach surgery to reduce their body weight. Some patients see a significant improvement in blood sugar readings after the surgery. However, more research and studies must be conducted to conclude the long-term effects and benefits of gastric bypass as a viable treatment for diabetes. WHEN TO CONTACT A DOCTOR When a person experiences debilitating symptoms from their diabetes and is unable to control their blood sugar at home, he or she should contact a physician. SOME REASONS OR CONDITIONS FOR WHICH A PATIENT SHOULD SEEK EMERGENCY CARE ARE AS FOLLOWS: Hyperglycemia, especially if persistent, or if blood sugar is excessively high Hypoglycemia, especially if persistent, or if blood sugar is excessively low High ketones count in urine Warning signs for a diabetic coma A person is said to be suffering from low blood sugar when his or her blood sugar falls below his or her targeted range set by a physician. Low blood sugar is also referred to as hypoglycemia. Blood sugar may drop for several different reasons. For instance, people who take medication to control blood sugar may notice a drop in their glucose level when they skip a meal or exercise more than usual. Taking the wrong dosage of insulin or another diabetes-specific medication can also impact blood glucose levels. To prevent blood sugar from getting too low, the patient should monitor blood sugar levels daily or as often as directed by a physician. SIGNS THAT INDICATE ABNORMALLY LOW BLOOD SUGAR ARE AS FOLLOWS: Sweatiness Shaky feeling Weak and fatigued feeling Dizziness Hunger Seizures Losing consciousness Heart palpitations Blurry vision Difficulty speaking or slurred speech Drowsy feeling Low blood sugar can be treated at home by consuming carbs. Glucose tablets or fruit juice can typically bring blood sugar levels up. However, in cases where blood sugar cannot be controlled at home, or when a patient consistently shows low blood sugar readings, the patient should contact a physician. A patient is said to be suffering from hyperglycemia when the blood sugar level has risen dangerously high. This condition can be caused by many factors, including failure to take medications and insulin, eating too much, or not following dietary guidelines. Sickness or infection can also impact blood sugar levels. To combat hyperglycemia, the patient should check sugar levels as often as recommended by a physician. THE PATIENT SHOULD ALSO BEWARE OF THE FOLLOWING HYPERGLYCEMIA SIGNS: Thirst Dry mouth Frequent urge to urinate Fatigue and weakness Nauseated feeling Blurry vision Those with hyperglycemia should contact a doctor immediately for further instructions. Ambulatory care is required if the patient is unable to bring down their blood sugar with diet or medication. Ambulatory care is especially important if hyperglycemia persists over time. A diabetic coma is a life-threatening condition that occurs most commonly in type 2 diabetics, though it could occur in either type. These comas typically occur in patients who have a blood sugar reading higher than 600 mg/dl. A person is said to be in a diabetic coma when he or she becomes severely dehydrated as a result of high blood sugar. Diabetic comas have many warning signs, such as extreme thirst combined with a parched mouth and dry skin that does not sweat. A high fever is typically present in the patient along with difficulty with vision, sleepiness, hallucinations, and confusion. A patient might also complain of a weak feeling on one side of his or her body. Because a patient might lose consciousness as a result of diabetes-related health problems, all diabetics must wear an ID bracelet. Such bracelets identify patients as diabetic, and this warns others to call for help when a patient behaves strangely, loses consciousness, or cannot make decisions independently. An ID bracelet also alerts medical professionals that the patient has special and specific medical needs. It is also important that diabetics alert their friends and family of what to do in emergencies. Family members should be able to recognize signs that a diabetic is in distress. Patients should carry all diabetes medications and insulin with them at all times. It might also be a good idea to carry hard candies, just in case an insulin boost is needed. ADDITIONAL TIPS FOR MANAGING DIABETES Diabetics should always be careful in regards to diet and exercise, and this is especially true if a diabetic takes statins. Overall, there are several day-to-day things diabetics should do to live a healthier lifestyle. For starters, all vaccinations must be kept current. This is because high blood sugar often weakens the immune system. The hepatitis B vaccine, the pneumonia vaccine, and also the yearly flu shots are recommended for diabetics, though patients should speak with their physicians before taking these shots. In addition to getting vaccinated, diabetics should also monitor their cholesterol and blood pressure. If a doctor prescribes medications for these issues, the patient should be sure to take all medicines on time as prescribed. Patients with statins and diabetes should seek emergency medical help when experiencing any severe or ongoing issues with blood pressure or blood sugar. Diabetics should also be mindful of the condition of their feet. Washing and drying feet daily is important. Drying the spaces between the toes is also recommended, especially because diabetics are prone to skin infections and slow-healing cuts and sores. The skin should be checked daily for any sores, blisters, cuts, or swelling. A medical consult is imperative for anyone who finds slow-healing cuts on the body. It is also important that diabetics practice good oral hygiene. Good dental care is important for everyone, but especially for diabetics, and this is because diabetics are more susceptible to gum infections. A FEW STEPS TO TAKE TO IMPROVE AND MAINTAIN GOOD ORAL HYGIENE ARE AS FOLLOWS: toothbrush, brushing, oral hygiene Brush teeth at least twice daily Floss teeth daily Schedule regular dental exams Call a dentist or dental hygienist when signs of gum infection are present (ie. swollen gums, red gums or bleeding gums) Smoking and alcohol use can cause harmful complications for diabetics. For instance, smoking increases a person's risk of developing cardiovascular disease, and diabetic smokers with cardiovascular disease are more likely to die from it than nonsmokers. Even smokeless tobacco is harmful to those with cardiovascular disease. Thus, diabetic smokers and smokeless tobacco users should quit their tobacco use. Alcohol use should also be kept to a minimum, especially because it can impact blood sugar levels. Most experts recommend no more than 1-2 drinks daily. Diabetics who drink should be sure to do so in moderation and only with food, never on an empty stomach. Stress management is also essential in regards to managing diabetes. This is because hormones in the body of a diabetic can inhibit insulin from working, which results in raised blood sugar levels, and this is especially true for people who endure high levels of stress over time. A FEW WAYS TO MANAGE STRESS ARE AS FOLLOWS: Learn relaxation techniques, such as meditation or yoga Set daily, realistic goals at work and home Prioritize important tasks Go to bed at a reasonable hour While there is no cure for diabetes, the disease can be managed by making the proper lifestyle choices. It may be necessary for diabetics and prediabetics to take statin drugs to improve their quality of life and help lower LDL cholesterol levels. If taking a statin drug, diabetics should be extra careful about monitoring their blood pressure, cholesterol, and blood sugar levels. When a diabetic experiences severe or long-lasting side effects from statins and diabetes or other medications or insulin, he or she should seek advice from a physician. Drug dosages can be adjusted, or the patient may be placed on another statin drug. 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