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In Part 3 of the Stress Connection we will move into the heavy part that addresses Suicide Risk. Teenagers need to be aware of some facts about suicide and the warning signs that help determine whether someone is a suicide risk. There are many misconceptions about the causes of suicide and about the warning signs suggesting suicide risk. A personality or behavioral change, such as apathy, moodiness, a sudden change from depression to happiness or euphoria. Depression, including crying, insomnia, hypersomnia, increase or decrease in appetite, irritability, lack of energy. Symptoms (Warning Signs)= Insomnia, hypersomnia, crying spells, loss of appetite, weight gain or loss, apathy, despondency, moodiness, hostility, anxiety, agitation, indecisiveness or impulsiveness, inability to concentrate, physical or psychological exhaustion, noticeable personality change.
Signals (Behaviors)= Threats or hints about self-destruction, preoccupation with aspects of death or impact on others, truancy or running away, disruptive or rebellious behaviors, abuse of alcohol or other drugs, reckless driving, excessive risk taking, accident proneness, sexual promiscuity, social isolation, neglect of personal appearance, putting affairs in order, giving away personal belongings or prized possessions, revising wills or insurance policies.
Personal factors can include: family relationships and the quality of these relationships, existence of lack of close friends, alcohol or other drug abuse, a previous suicide attempt, impulsive or dangerous behaviors, perfectionism, difficulty handling failures, extreme mood swings, signs of depression. When suicide is viewed as a process you can see that intervention anywhere during that process reduces suicide risk.
If someone you knows appears at risk tell someone, intervene, involve a reliable and mature adult.
This information for Part One, Part Two, and Part Three are part of a book on Preventing Suicide by Nanette Burton Mongelluzzo, PhD. Last updated: 22 Jan 2012Views expressed are those solely of the writer and have not been reviewed.
According to the 2005 Australian AusDiab Follow-up Study, around 1 million Australians are diagnosed with diabetes with another 16.3% classed as pre-diabetic.
Diabetes is associated with reduced circulation (peripheral vascular disease) and nerve damage (peripheral neuropathy) in the lower extremities.
The current prevalence rate of foot ulcers lies at 1.7% of adults attending a diabetes clinic20. The non-invasive and quick treatments can easily be integrated into current protocols (i.e. Inflammatory ModulationAfter PACE treatment the wound moves quickly through the inflammatory phase (increase in leukocyte activity) to the cell duplication phase (proliferation) of healing. Cytokines and ChemokinesInflammatory and pro-angiogenic phases are accompanied by increases of cytokines and chemokines 6 hours after and up to 7 days post-treatment.
Growth factor UpregulationPACE treatments apply mechanical forces to the individual cells in the treatment area and thus, creating a biological response called “cellular expression”.
GranulationGranulation or cellular proliferation describes the stage when cells multiply to cover and close the wound. EpithelializationA recent phase III clinical trial strongly suggests that dermaPACE has an effect in the stabilization, size reduction and with time, complete re-epithelialization of wounds specifically diabetic foot ulcers (DFU). The condition of gangrene is a serious one, primarily marked by loss of adequate supply of blood to the tissues of the body, ultimately resulting in its necrosis or death. Injury to the tissues, infection (mostly of bacterial origin) and presence of any underlying health ailment that inflicts damage to the blood carrying vessel structure form the three key underlying mechanisms that are responsible for initiation and development of irreversible tissue damage and life threatening condition of gangrene.
As already explained, one of the causes of gangrene in the toes and fingers is linked with damaged blood vessels. High level of blood glucose associated with diabetes mellitus also damages the nerves (known as peripheral neuropathy), especially the nerves in the lower extremities. The dullness or lack of sensation puts diabetic individuals at an increased risk of injuring the skin of their fingers or feet without having any realization (it mostly goes unnoticed in the feet region). The sore or foot ulcer formed takes an extended time to heal because of both, poor circulation of blood through the injured area as well as lesser number of defence cells.
Bacterial infection also forms another causative factor that makes the diabetic individual more prone to developing gangrene.
Such type of infection is marked by noticeable skin discolouration and dryness along with the formation of skin blisters. The weakened immune system (seen in diabetes) further raises the risk of incurring serious infection, which later develops, into gangrene. Taking of over-the-counter analgesics are helpful in alleviating the pain and the tenderness which the patient is complaining about. Avoid using contact lenses and eye makeup when one is still in the treatment process for stye. Have you got skin problems?Is your skin itching, breaking out, covered in a rash, or playing host to strange spots? To provide even greater transparency and choice, we are working on a number of other cookie-related enhancements. This content is created for Diabetes Mine, a consumer health blog focused on the diabetes community. The content is not medically reviewed and doesn't adhere to Healthline's editorial guidelines.
Please note that we are unable to respond back directly to your questions or provide medical advice.
We thought it would just be kind of wrong to wrap up March -- National Nutrition Month -- without reflecting upon a beloved condiment that many of us can't live without: KETCHUP.
Today, our D'Mine columnist and correspondent Wil Dubois takes a real close look at an essential component of our health that most of us never think about. If we had a dollar for every time "What the heck??" was uttered in managing diabetes, we'd probably have enough funds to find the cure ourselves! I guess just one of the pieces missing in your N x 1 experiment is what was your BG trend at the time? This just proves how finely balanced the blood glucose level is when we are "in control." It doesn't take much to tip the balance and then it's off to the roller coaster races! It's remarkable how the non-diabetic system can keep glucose levels in a tight range, and no matter how hard we try, we can't do it quite so well. Do you freak out similarly over four grams of carbs of orange juice?I'm with Mary Fairweather Dexter. It's a matter of keeping the numbers in perspective: too few endos, too many diabetics with limited or no access to one. As the fastest growing consumer health information site a€” with 65 million monthly visitors a€” Healthlinea€™s mission is to be your most trusted ally in your pursuit of health and well-being. The bone infection in any part of the body is reflected in the form of fever, chills, moderate to intense pain in the infected area, swelling and redness on the infected area and irritability is seen. The infection can also be caused through severe kind of wounds that send germs deep inside the body. People with circulation disorders like blocked blood vessels, are prone to get osteomyelitis infection. Finally when the body’s immunity gets tampered due to medical condition like chemotherapy, organ transplantation and prolonged usage of corticosteroids and alcoholism can cause infection on the bones.
If the bone infection is very severe causing death of the bone, it has to be removed through surgery. When we know the relationship of stress and depression to suicide, we can see how coping skills can help prevent suicide. The contents of such writings usually suggest suicidal thoughts or feelings of despair and hopelessness. The single event people refer to is usually only the last straw, the identifiable event that appears just before the suicide attempt. It is likely to be an even greater problem than these figures indicate, as it is estimated that for each person diagnosed with diabetes, another diabetic is undiagnosed. These two factors increase the risk of diabetic or neuropathic wounds in diabetic patients. Such diabetic ulcers can usually be found in the lower limb region and are called diabetic foot ulcers. Diabetes is estimated to account for approximately half of all non-traumatic amputations 17. PACE treatment results in an increase in perfusion and arteriogenesis, biofilm disruption, a pro-inflammatory response, cytokine and chemokine effects, growth factor upregulation, angiogenesis (new blood vessel formation) and the subsequent regeneration of tissue such as skin, musculoskeletal and vascular structures.

This describes the incidence when the cells produce wound healing proteins called pro-angiogenic growth factors. VEGF (vascular endothelial growth factors) indicate the growth of new capillaries to allow an improved blood flow in the wound. Research has shown that after PACE treatment, there is a significant increase of proliferative cells which indicates that PACE treatments may accelerate wound granulation.8 Stojadinovic et al (2008) reported marked granulation tissue development on post-treatment day 4. Epithelialization of greater than 90% was demonstrated to have statistical importance at 12 weeks in favour of PACE treated wounds compared with the placebo group. Death of cell and tissue may target any part of the body, however, it has been typically observed in the extremities, such as the toes, fingers and hands. In both, type 1 and type 2 diabetes, the raised level of sugar is capable of causing damage to the blood vessels and reducing blood supply. Owing to the nerve damage, the transmission of sensation, particularly those of pain to the brain gets impaired.
A notorious bacterial organism, Clostridium perfringes is often linked with gas gangrene; after it attacks the site of injury or sometimes, surgical wound.
This condition is a result of an infection of the oil glands of our eyelids that is essential in the lubrication of the eyeball.
The stye then develops to a yellowish spot at the center of the lump, meaning pus has accumulated.
The mere touching or contracting the infected eye with pus can contaminate a person if not careful.
If one is about to use an eye medication, hand washing is very essential in avoiding cross contamination. When the infection has gone, one can wear contact lenses but with thorough cleansing first. Skin inflammation, changes in texture or colour and spots may be the result of infection, a chronic skin condition, or contact with an allergen or irritant. It is intended for general information purposes only and does not address individual circumstances. If people who overindulge in carbs develop diabetes from that alone (Type 2), we'd have 150 or 200 million diabetics in this country. Your candy experiment is evidence of that, but then, we've all been doing this experiment everyday of our diabetic lives.
I never said PWDs can't have sugar or pouted or anything else so negative that you're reading into this post.It's a shame my little experiment bothers you so much. Both of which will support, guide, and inspire you toward the best possible health outcomes for you and your family.
In rare cases, osteomyelits may not show any symptoms thus becoming difficult to distinguish and treat it. This bacterium is present in the skin or even on the nose of individuals and when the conditions are favorable it starts infecting the bones. For instance when a person gets pneumonia the germs will travel into the blood and reach a weak spot of the bone and starts infecting it. If a person has got severe injury or has undergone orthopedic surgery, the germs can enter into the bones nearby.
For instance, diabetes (not managed properly), peripheral arterial disease, and Sickle cell disorder can cause this infection.
In rare cases, complications occur due to osteomyelitis, causing bone death, septic arthritis or impaired growth of bones affecting the growth plates and even skin cancer when it infects the squamous cell. It will provide more clarity surrounding the continuum I am addressing when it comes to stress, anxiety, depression, and suicide risk. This makes a total of around 1.7 million Australian diabetics (diagnosed and undiagnosed)15.
Saggini et al (2008) reported considerably increased granulation tissue in the wounds of treated patients after shock wave treatment.
In the absence of a continuous supply of nutrient and oxygen rich blood, the cells within the body begin to fail in carrying out their normal function and finally give up.
As a result of restricted blood circulation to the extremities, such as the feet, the area becomes deprived of those cells (white blood cells) which aid in fighting off any infection. Another complication is the formation of scars or is a term called chalazion that can end up to cysts. If you have developed a stye and usually apply makeup, throw away the makeup kit for it can house the bacteria or viral agents that have caused the disease. It is not a substitute for professional medical advice, diagnosis or treatment and should not be relied on to make decisions about your health.
Hard candies aren't treats for me, but they're useful, handy little gifts to keep in my bag for the next unexpected sprint to the subway. Very often osteomyelitis infection occurs in soft areas of the bone like growth plates which are present in extremities of the body.
During surgery sometimes the path of the bone is kept open for the entry of the germs easily.
He may also do a bone biopsy by collecting small sample of bone and sending it to the laboratory for detecting the presence of germ.
After ascertaining the type of germ that has infected the bone, your doctor will start with antibiotics through Intravenous injection for 4-6 weeks. In case you have chronic infection of any other kind, talk to your doctor for keeping the infection under control. The total figure of Australians with diabetes and pre-diabetes is estimated at 3.2 million16.
8 Other studies compared ESWT with topical VEGF application in ischemic tissues and shock wave treatment outperformed VEGF application. Overall PACE treated wounds were twice as likely to achieve 90-100% wound closure compared with sham-control patients within 12 weeks. Swelling and inflammation resulting from the infection causes the local temperature of the area involved to be slightly elevated, and also leads to pain. This can be in a slarge form that may cause deformation of the cornea of the eye and shall impair one’s vision.
Yet, while many are minor, they may indicate something more serious, so always seek medical advice for correct diagnosis. Never ignore professional medical advice in seeking treatment because of something you have read on the BootsWebMD Site. When I smiled and noted that my "condition" keeps me off that stuff, he insisted I was being "obsessive."Surely one piece of hard candy won't do much to your blood sugar, right?Ummm, that's what I take when I'm low. I just don't want my Type 2 brethren to feel this weight of guilt about the development of their disease. I never bother eating hard candy when I'm not low - it's a waste of my limited carb allowance to me. People who depend on urinary catheters for passing urine, who use dialysis machines and people who are on IV tubes for long time can get infection of osteomyelitis. Strong antibiotics can keep the infection under control and often it is not necessary to do surgery. For people with diabetes, it is necessary to monitor any changes in the feet since it can get infected easily. As depression sets in more heavily, the person may give up or may become angry at her or himself rather than at others who may be the sources of pain or discomfort.
Some people are at risk for this condition such as those who have diabetes, chronic blepharitis, seborrhea, and other chronic illnesses. Anesthesia induction is needed for children for they can be fearful and anxious during the procedure.
I'm actually disappointed to hear that you're disappointed just 'cause I try not to eat candy regularly. It doesn't help you control your diabetes better, just like Type 1s who berate themselves for a day of poor control aren't helping themselves.How you developed diabetes doesn't matter as much as how you deal with it now.

I rarely drink OJ when not low either, though it's my new goto for borderline low morning numbers. In children, bones on the legs and upper arm are mostly infected by osteomyelitis and in adults’ spine or vertebral column gets infected. He would fill the empty space with another piece of bone or tissue for restoring the blood flow. Those who are immunocompromised patients are also at risk and people who are under a lot of stress are susceptible for this condition. And I rarely pop anything with 4 or more grams of carbs in my mouth without a BG check and bolus. In some cases, the surgeon will remove surgical screws and plates that are placed during surgery done earlier. When stye infection is note controlled, the progression of a systemic infection is a possibility. Osteomyelitis can be treated by medications and for some people surgery is done for removing the infected bone. As a last measure, he will amputate the limb or affected area to prevent infection from spreading. Most people recover, but pain, numbness, and itching linger for many and may last for months, years, or the rest of their lives.
I decided on a three-time N of 1 trial.On the First Day, I was at a delightful 115 before lunch (the kind of #BGnow that makes food seem more evil than ever, ya know?). My doctor thinks I might be a bit obsessive about my glucose control, but he also says I'm one of his healthiest patients.
While picking up some cottage cheese for lunch, I grabbed one of those strawberry-looking wrapped hard candies off the store counter and popped it in my mouth. Hives (urticaria)Hives, a common allergic reaction that looks like welts, are often itchy, stinging, or burning. Severe hives can be associated with difficulty breathing (get immediate medical attention if this occurs). Realize it is possible to savor one small moment of sweetness without compulsively eating a huge amount or obsessing over a tiny rise (which could also be caused by the worrying).This is not a bad endo and good ones are rare. Medication, foods, or food additives, temperature extremes, and infections like a sore throat can cause hives. I very much enjoyed a Werther's Original (after failing to find my all-time favorite hard candy, Coffee Nips).
PsoriasisA non-contagious rash of thick red plaques covered with silvery scales, psoriasis usually affects the scalp, elbows, knees, and lower back.
The precise cause of psoriasis is unknown, but the immune system mistakenly attacks skin cells causing new skin cells to develop too quickly. EczemaEczema describes several non-contagious conditions where skin is inflamed, red, dry, and itchy. Stress, irritants (like soaps), allergens, and climate can trigger flare-ups though they’re not eczema's cause, which is unknown.
Treatments include emollient creams and ointments, steroid creams and ointments, antibiotics and antihistamines. RosaceaOften beginning as a tendency to flush easily, rosacea causes redness on the nose, chin, cheeks, forehead, and can cause eye irritation. If left untreated, bumps and pus-filled pimples can develop, with the nose and oil glands becoming bulbous. Rosacea treatment includes topical gels, medication, as well as surgery to remove blood vessels or correct nose disfigurement. Rash from poisonous plantsMost plants in the UK will not give you a rash, but the same is not always true on holiday abroad where you may be in contact with species that don't grow here.
For example, in the US, contact with sap from poison ivy, oak, and sumac causes a rash in most people. The typical rash is arranged as a red line on an exposed area, caused by the plant dragging across the skin.
The sharp edge of closely shaven hair can curl back and grow into the skin, causing irritation and pimples, and even scarring.
To minimise razor bumps, have a hot shower before shaving, shave in the direction of hair growth, and don't stretch the skin while shaving. Skin tagsA skin tag is a small flap of flesh-coloured or slightly darker tissue that hangs off the skin by a connecting stalk.
They’re usually found on the neck, chest, back, armpits, under the breasts or in the groin area. Skin tags are not dangerous and usually don't cause pain unless they become irritated by clothing or nearby skin rubbing against them. Often seen on the face, chest, and back, acne is caused by a number of things, including the skin’s response to hormones.
To help control it, keep oily areas clean and don't squeeze pimples (it may cause infection and scars). Athlete's footA fungal infection that can cause peeling, redness, itching, burning and sometimes blisters and sores, athlete's foot is contagious, passed by direct contact or by walking barefoot in areas such as changing rooms or near swimming pools.
It's usually treated with topical antifungal cream or powder, or oral medication for more severe cases. MolesUsually brown or black, moles can be anywhere on the body, alone or in groups, and generally appear before age 20.
Have a medical check-up for moles that change, have irregular borders, unusual or uneven colour, bleed or itch. Age, sun or liver spots (lentigines)These pesky brown spots are not really caused by ageing, though they do multiply as you age. They're the result of sun exposure, which is why they tend to appear on areas that get a lot of sun, such as the face, hands, and chest.
To rule out serious skin conditions such as melanoma, seek medical advice for correct identification. Pityriasis roseaA harmless rash, pityriasis rosea usually begins with a single, scaly pink patch with a raised border.
Days to weeks later, salmon-coloured ovals appear on the arms, legs, back, chest, and abdomen, and sometimes the neck.
The rash, whose cause is unknown, usually doesn't itch, and usually goes away within 12 weeks without needing treatment.
MelasmaMelasma (or chloasma) is characterised by brown patches on the cheeks, nose, forehead and chin. Melasma may go away after pregnancy but, if it persists, can be treated with prescription creams and over-the-counter products.
Cold soresSmall, painful, fluid-filled blisters around the mouth or nose, cold sores are caused by the herpes simplex virus. Antiviral pills or creams can be used as treatment, but seek medical advice immediately if sores contain pus, you have a fever greater than 38C, or if your eyes become irritated. WartsCaused by contact with the contagious human papillomavirus (HPV), warts can spread from person to person or via contact with something used by a person with the virus. You can prevent spreading warts by not picking them, covering them with bandages or plasters, and keeping them dry. Seborrheic keratosisNoncancerous growths that may develop with age, seborrhoeic keratoses can appear anywhere on the body - but particularly on the chest or back - alone, or in groups. They may be dark or multicoloured, and usually have a grainy surface that easily crumbles, though they can be smooth and waxy.
Because seborrheic keratoses may be mistaken for moles or skin cancer, seek medical advice for correct diagnosis.

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