Items filtered by date: Tuesday, 03 July 2018

On Monday, June 23rd - the Wild Boar youth soccer team and their coach left their bikes chained at the entrance to the Tham Luang Nang Non in northern Thailand and ventured forth in what they expected to be a two(ish) hour adventure. But the cave flash flooded and the 12 young players and their coach vanished.

Nine days later rescuers from Thailand, China and Australia found them. Other than minor scrapes, miraculously, all 13 of them were safe. Here is the first video of rescuers reaching the boys. The boys didn’t have any food and were in complete darkness but stayed alive by drinking pooled rainwater.

Finding them was step one but rescuing them, it appears, is going to be a daunting task. The boys are estimated to be trapped about 2 kilometer into the cave and approx. 1 kilometer underground. Rescuers are trying to figure out the best way to get them through a labyrinthine series of flooded caves linked together by narrow passageways with zero visibility for most of the swim.  

Thai Navy seals have even drained 120 million liters of water out of the caves in order to keep the water levels down to help the rescue. It appears as if rescuers have no great option in how to get the boys out. Some believe that the boys should be trained in underwater cave swimming, which is no easy feat. CNN spoke with Anmar Mirza, of the US National Cave Rescue Commission recently in this interview. From the interview:

"Cave diving is incredibly dangerous for people who are very experienced doing it. And now you're looking at taking people who have no experience or very little experience with diving, and putting them into a complete blackout situation, where they have to rely on a regulator and the tanks with them to breathe.”

Some believe that the boys should continue to be supplied until the rain season is over and the water levels drop and then rescued - something that could take four months.

For now Thai Navy SEALS, a doctor and a nurse are down with the boys. A communication director from the Navy told reporters:

"We have now given food to the boys, starting with the food which is easy to digest and provide high energy. Minerals are also provided. We have taken care of those boys following the doctor's recommendations, so do not worry. We will take care of them the best we can. We will bring all of them to safety. We are now planning how to do so.”

And just today, July 6th, the rescue operation has claimed it's first life, Saman Gunan, a former Thai navy diver tragically died while delivering air tanks down to the boys. This further illustrates how difficult it will be to get untrained divers, all kids mind you, out of the caves. And with monsoon season approaching, rescue workers don't really know how much time they have before the entire caves flood. A 3 mile oxygen line is now being rushed in along with power and phone cables.

Great news! On July 10th it has been reported via multiple sources that all 12 of the boys and their coach has been rescued. Fearing that the monsoon season would flood the rest of the caves rescuers had no choice but to move forward with a rescue operation. It took thousands of people rescuers more than a week to get them out safely. Here is the first video of the boys' rescue.

All of the boys and their coach have lost weight but are in pretty good shape. One of them has a lung infection but it sounds as if treatment is working well for him. The boys will be in quarantine for about 30 days to protect them from other people. Their immune systems have been weakened and doctors are taking no chances. It sounds as if they are all on the road to a full physical recovery.

UPDATED: July 11th. 

 UPDATED: July 10th. 

 UPDATED: July 6th 10:00 am. 

Canadian researchers report women who work 45 hours or more a week are at higher risk of developing diabetes.  Those who work 30-40 hours weekly, however, are not at increased risk.

In this study, published in the British Medical Journal Diabetes Research and Care, study authors looked at 7000 men and women, aged 35-74, who were working a variety of hours per week.  They found men more likely to develop diabetes, especially if they were obese, but women who worked greater than 45 hours/week were 62% more likely to acquire the disease than women who worked “normal working hours.”

This may shock many of us whose normal work week plus housework clocks in at 80-100 hours.  However, extra hours of work increases stress inducing hormones that may contribute to poor sugar metabolism.

Another theory is longer work days may induce more carbohydrate eating for energy.

Study author Peter Smith of the Institute of Work and Health in Toronto said, “If you look at time spent outside of work, women do more care of household members and more routine housework. The only thing women don’t do more of is watching TV and exercising.”

According to the CDC, 23.4 million people in the US have diabetes, and in total 100 million Americans suffer from prediabetes or diabetes.

Previously the 7th leading killer of Americans, diabetes affects so many people that it has now become third leading cause of death in the US. A study in 2017 found 12% of deaths in the US is caused by diabetes, trailing behind heart disease and cancer, ranked at #1 and #2.

What is Diabetes?

Diabetes is a disease in which the body doesn’t utilize and metabolize sugar properly.  When we consume food, its broken down into proteins, nutrients, fats, water, and sugar. These components are necessary for cell growth and function.  They get absorbed in the small intestine and make it to the bloodstream.   In order for a cell to utilize sugar, it needs the hormone insulin to help guide it in.  It’s similar to a key that fits in the keyhole of the “door” of the cell, opening it up so sugar can enter.  Insulin is produced in the pancreas, an organ that receives signals when one eats to release insulin in preparation of the sugar load coming down the pike.

Diabetes Explained

So I imagine our mouth like a waiting room, the blood stream like a hallway, and the cells of the body the rooms along the hallway.  Insulin is the key to open the cells’ “doors” allowing sugar to enter.  If the sugar does not get in, it stays in the bloodstream “hallway” and doesn’t feed the cell.  Weight loss occurs, and individuals may become more thirsty as the sugar in the blood makes it fairly osmotic, something the body wants to neutralize, reduce.  The kidneys are going to want dump the excess sugar, so to do so, one would urinate more, again causing thirst.  So when a diabetic loses weight, urinates more frequently and becomes thirsty, you now understand why.

Complications of Diabetes

Cardiovascular disease – Sugar is sticky, so it can easily add to atherosclerotic plaques.

Blindness – high sugar content draws in water to neutralize and small blood vessels in the eye can only take so much fluid before they burst.  Moreover, high blood sugar weakens blood vessels.

Kidney disease – the kidneys work overtime to eliminate the excess sugar. Moreover, sugar laden blood isn’t the healthiest when they themselves need nourishment.

Infections – pathogens love sugar. Its food for them.  Moreover blood laden with sugar doesn’t allow immune cells to work in the most opportune environment.

Neuropathy – nerves don’t receive adequate blood supply due to the diabetes-damaged blood flow and vessels, hence they become dull or hypersensitive causing diabetics to have numbness or pain.

Dementia – as with the heart and other organs, the brain needs healthy blood and flow.  Diabetes has been found to increase risk of Alzheimer’s as well.

Type I vs. Type II Diabetes

Type I Diabetes, previously called insulin dependent or Juvenile diabetes, occurs when the pancreas doesn’t produce insulin, possibly from the immune system destroying the cells that produce the hormone. When this occurs there is rapid weight loss and death could occur if the cells don’t get the sugar they need.  Insulin has to be administered regularly.

Type II Diabetes, previously called non-insulin dependent or adult-onset diabetes,  occurs in those who began with a fully functioning pancreas but as they age the pancreas produces less insulin, called insulin deficiency, or the insulin produced meets resistance. This is the fastest growing type of diabetes in both children and adults.

What is insulin resistance?

Insulin resistance, if using our hallway and door analogy, is as if someone is pushing against the door the insulin is trying to unlock. As we know, those with obesity are at higher risk for diabetes, hence fat can increase insulin resistance. It’s also been associated with an increase in heart disease.

Blood sugar numbers

If your fasting blood sugar (glucose) is greater than 126 mg/dl, or your non fasting blood sugar is greater than 200 mg/dl, you may be considered diabetic. Pre-diabetes occurs when the fasting blood sugar is between 100 and 125 mg/dl.  If ignored, and the sugar rises, pre-diabetics may go on to develop diabetes.

SOURCE DIABETESMEALPLANS.COM

Preventing/Controlling Diabetes

1/3 of American adults are currently pre-diabetic. Experts predict 1/3 of US Adults will be diabetic by the year 2050. Although genetics plays a big role, decreasing ones sugar intake and maintaining an active lifestyle can help ward of diabetes.

Foods high in sugar and carbohydrates increase one’s risk, so a diet rich in vegetables and lean meats is preferred.

For more information, visit http://www.diabetes.org/.

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Daliah Wachs is a guest contributor to GCN news. Doctor Wachs is an MD,  FAAFP and a Board Certified Family Physician.  The Dr. Daliah Show , is nationally syndicated M-F from 11:00 am - 2:00 pm and Saturday from Noon-1:00 pm (all central times) at GCN.