text:
Marriage and Mental Illness: For Better or Worse?
For Better of Worse? Yes, that's the vow. But when the symptoms of mental illness seem to change the personality - the very soul - of your husband or wife, how do you keep going? How do you hold the family together?
When faced with mental illness, family members have two sets of challenges. They seem to be
- the emotions we all face (like grief, confusion, guilt, loss, anger) and,
- the more practical issues in the role of any family caregiver - a role we all have to play at least some of the time in this situation.
My most personal experience, as a family member of someone diagnosed with mental illness, is as a Mom. In fact, I'd venture to say that a majority of the people who take NAMI's Family-to-Family course are parents. A typical class of 20-25 usually includes a handful of siblings, spouses, and/or children (that is, adults who grew up and may be caring for a parent with mental illness) - but the biggest group always seems to consist of parents.
Many of the issues, emotions, and challenges we face as family members certainly are universal to all of these roles - however, there are also additional feelings and obstacles that are unique to each "relative group."
Yes, I am a mother - but I also watched my daughter suffer through the loss of the "big brother" she knew, and adjust to her new role with a "little brother", whose growth and accomplishments now trail behind. I also was married to an alcoholic for seven years (Ben and Ali's father, William) and though I now struggle to determine if he'd had a co-occurring mental illness, I know that I did live with some of the uncertainties that spouses face when mental illness changes the partner they thought they'd married.
Challenges Facing Spouses with Mentally Ill Partners
Here are 5 things I learned from spouses of those with mental illness about their particular objective challenges, in addition to the ones we seem to all have in common (financial worries, staying alert to relapse symptoms, coping with family conflict etc.):
Spouses also face:
- Feeling like you've lost the partnership of marriage. If you always turned to your spouse in times of need, where can you turn now? (I know, in our house, my friends' sympathy for my Williams' alcoholic episodes wore thin very fast)
- Financial burdens. Coping with the loss of a wage-worker in the household, if mental illness has led to job loss. (I began to lose count of the number of jobs William lost, or the number of customer complaints when he started his own business, due to unreliability)
- Resentment - and sexual distance - that can accompany the change in roles when one spouse takes on the "caretaker" role.
- Single-parenting coupled with being the primary caretaker of your spouse. (One Mom I met told me about walking down the stairs dressed in her husband's Santa suit to greet their three young kids after he'd been hospitalized on Christmas Eve. That may the tip of the iceberg, but it still broke her heart). Worrying about your children's emotional state as well as your own.
- Stigma, social isolation, loss of the "couple friends" group. Invitations dwindle when your spouse's actions are unpredictable and sometimes embarrassing.
What helps spouses? What helps all family members? In my next post, I'll talk about life balance, and some concrete steps like learning all you can, reaching out for support in new places, and self-care.
Are you a spouse of someone with a diagnosed mental illness? Does this ring true for you? What helps you?
APA Reference
Kaye, R.
(2012, March 17). Marriage and Mental Illness: For Better or Worse?, HealthyPlace. Retrieved
on 2024, July 24 from https://www.healthyplace.com/blogs/mentalillnessinthefamily/2012/03/marriage-and-mental-illnessfor-better-or-worse
Author: Randye Kaye
Chris - I hear you. I've been with my partner for 9 years and he recently is suffering from a form of PTSD and anxiety attacks. We aren't married, nor do we have kids, but I take my relationship seriously and am committed and loyal. There are days where I definitely want out, but I keep coming back because I love him and know that he is still a good person and a good partner despite the illness. My partner is the same like your wife, being that he refuses treatment etc. He also avoids going into work putting even more stress on me, and geez, that creates intense fighting.
I'm glad I found this blog, and I'm glad that a lot of the spouses have stuck by their partners. It's hard to find people that understand whats going on with a partner with mental illness. I always feel judged and feel ashamed how other people see us, but more how people perceive me. I learned to never tell friends or family members that don't know the both of us. Depending on how you're telling them, they judge and tell you you're an enabler. I know that every relationship has some enabling, but I can't tell how much is too much? I know he hasn't been suffering for as long as some of the folks here, but I'm glad I'm not the only one sticks by their mate. Married or not, kids or no kids.
Your wifes's condition is more severe than mine, but I think there is still hope. I once read this article in the newspaper several years ago about a teacher who has schizophrenia, and he doesn't take meds for it. Basically it was Living with Madness or something like that, and the only way to continue living and surviving was literally talking to himself, and saying that I'm Mad, so you deal with it. It didn't intrude in his life. Alas, I don't know how you'll get that information to sink on your wife. I too am looking at ways to deal and cope with my partner and to find ways to pick his brain. This illness has also brought up all the past hurdles we've had in the past, making me more resentful and angry at him. I'm learning to stick to the present, but it's a struggle too.
Don't know if any of this is helpful, but I'm taking in what everyone has expressed and it shows that many people have stuck by their mates. It sucks, and it's not the life we intended but this gives me some comfort. Obviously, I'm sure some people will reach their breaking point and for that I would still be understanding of that persons decision. Best of luck!
Seeing so many couples that have managed to stay together despite the intrusion of mental illness is inspiring. On the other hand, I notice that most of the replies are from spouses with children, and this seems to become the impetus for staying in the marriage. As a husband of a wife who has been diagnosed with a moderate form of paranoid schizophrenia (which developed several years into our five year marriage) I wonder how much I would just be enabling her mental illness by continuing to support her while she refuses treatment and further ostracizes herself from friends and family. Would it not be better to avoid the many issues of raising a family, etc. and to force her to address her illness by stepping out of the picture now? I do take my vows quite seriously, and it's honestly the only thing that has kept me with her so far, but I really can't see the situation improving if we continue down this path... Any advice would be appreciated!
Mark and Andrew, my focus too was and continues to be on the welfare of our children, now young adults and the impact of my ex's mental health on them. 4 years after separating my ex still plays the victim across all aspects of his life. Our children have been affected by his condition and both have questioned there potential to develop a mental illness. Yes depression can be genetic but BPD is a behavioural response, a learned behaviour and that is the root of his problems. It is difficult to explain this to them because their Dad always refers to depression but the time is coming where I need to explain this to them, because he will continue to manipulate theirs and attempt to manipulate mine for years to come. I have tried to have a harmonious relationship with my ex because I still care about the welfare of the man I married but I realise I cannot as he does not respect boundaries, highly manipulative and very smart. Whilst I can leave the relationship behind my children cannot and I need to encourage them to have strength to deal with his actions. It appears that the BPD sufferer truly has difficulty in understanding that their actions are destructive and twist every word or action into a strategy for them to validate their view. Good luck with getting through these next stages and it is tough with children involved, but the important things are to stay close to the children reassure them, get through the settlment quickly, avoid negative comments about the BPD sufferer and when the time is ready attempt to explain the behaviour to children.
Great advice, truly. So glad to see support growing here, as this can be such a lonely road.
Hi Comrades. My wife has a serious mental illness and we have 2 kids. I also had thought to divorce and live a normal life. But later I also imagined what type of normal life would I be leaving? I'm now the caretaker and supportive of her relapses. I only worries are 2. We no longer have sex due to illness and I'm worried how long I will stand this sexual desire. Sometimes I think of finding a mate elsewhere. The other worry is our children getting physiological problems or even developing mental illnesses as well. Please advise.
Andrew M
Jane/smiley thank you for your comment also. My wife is not diagnosed. She would not got to a common specialist, but rather go to people that would only hear her side.
I had to do something after it had already affected my kids. (And probably should have done something sooner). But she still denies her issues, and even blames others for her actions.
We are dealing with it in court currently. And now she also filed for divorce. I have repeatedly explained the diagnosis is so we can get help. I truly believe she has a good heart. Her family, my family, and others see the issue and agree it is some type of personality disorder (it looks like BPD with long term delusions and paranoia).
She lost two jobs both within one year and sued them for 3 years (and we had to sell off my 401k
and wasted all my savings).
But the basic psych test does not show up anything. She is also a very smart person. Besides let the divorce go through I don't see much I can do to protect the kids and help me be able to take care of the kids more consistently.
It is a crazy process, and unfortunately the kids suffer the most.
Jacquie - I don't know - but with help, there's always a chance. Have you contacted healthcare and mental health professionals?
What if you both have DID? Can it work? Or is that just CRAZY TALK?
IM married and have several disabilities. I have gone from being sent to the hospital and put in the mentil illness wing. They can only keep you for 3 days but I stayed 7 to get my meds straightened out. I worked to better my self and met my wife we have been together 8yrs and married 5. My wife knew of my problems and seen me at my lows before we got married and even had my best friend and family pull her aside to make sure she was up for it and she still married me. I am on meds and see a therapist, Im a stay at home dad because I cant keep a job and we save about 600 a month from daycare and waiting on disability. My wife fights with me non stop about things my disabilitys prevent me to do and when she gets mad or frusterated with my disabilities she attacks them pushing my buttons then when I do blow up she plays the victum which should be considered abuse but its turned around as if im the bad guy because of my actions after she has poked the bear. I dont hit her or anything but I get loud. Now she is threatening divorce. To all the women reading this article if you marry someone with a mental illness or one developed one while married you agreed to for better or worst not run when it gets bad. In a marriage with mental illness if you are not willing to put your all in to all you are doing is hurting the one your with and possably making there illness worst.
Michael, I'm sorry to hear that you are having difficulty in your marriage. Mental illness does make it tough for the person with the illness and the partner. One suggestion that comes to mind is that the two of you consider discussing your issues with a licensed marriage therapist.
Take care,
Reading the journey of others experiencing similar situations as mine when I was married to my husband of 18 years who suffered from depression, anxiety and a border line personality disorder you realise that the journey and the footsteps you take are very lonely. It took me years of being the recipient of his verbal abuse to finally say 'enough is enough' and no matter how much counselling he did (he too shopped around for someone less critical of his actions) his issues are ongoing. I found the whole experience so lonely, confusing and challenged my view of how I can be a good role model for our children. I too like so many others kept the strains of our relationship quiet from friends and family, through my husbands request. Eventually though I started to share with others what was going on in our lives and found great support in that. I then wrote a book "Hidden Side to the Story" (available on Amazon) to share my journey, experiences and learnings at a time that I was questioning 'what is going on here' and i wish I had known early warning signs in the early days to get assistance early on. I am proud to say that I am so pleased that I met and married this man as it has provided me with so much more understanding of mental illness and compassion for others. Now four years later my ex husband and I have a respectful relationship, demonstrating to our children that even though marriages may dissolve that respect for the other partner can continue. I wish you all the strength and compassion for the rocky journey that is endured with a loved one.
Thanks, Jane.
I wish you success with your book! May it help light the way for others. That has been the greatest gift of writing mine. Your strength and attitude are inspiring! Randye
I am spellbound by the blog and shares here. My husband and I married 30 years ago and he has had one health crisis after another since our 3rd year of marriage. I can never tell whether the problem at any given moment is his out-of-control diabetes, his hepatic encephalopathy, his depression, his learning disabilities, his brain damage from repeated drug overdoses and head injuries, or a missed/doubled dose of one of his 13 daily Rx medications. Or is it just his untreated "dry alcoholism" since he refuses to attend meetings anymore (says they're all sick-o's in there). This site makes me think there may be hope! I go to Alanon which helps me immensely but even there, I don't find many friends who have the experience of living with someone who is as sick as my beloved both physically and mentally, or who takes 5 psychiatric meds + 4 shots of insulin just to get through the day - a day of watching TV in the recliner and eating junk. food while I manage everything including being the breadwinner. I have lost friends who said they can't stand to watch him use me any longer. Most of the time I think it is just his illness(es) but sometimes I do get resentful and wonder why I am working so hard so that he can have a boat, a truck, and a Mustang that sit in the yard most of the time because he never feels like doing anything. What hurts most I think is how isolated we have become - yet when he does have to see anyone for short visits - the only kind he allows - he can put on such a show that it convinces people that I am the crazy one! If it were not for my career in a very high functioning environment with awesome people who make a difference, I believe I would have gone over the edge long ago. Thanks for listening.
Glad it helps to share. This community is, hopefully, of some comfort. You are not alone! One of the biggest lessons we keep re-learning is one of "self-care" - feels like there's no time for it, sometimes, but I hope you can find a way! Thanks for writing. I only wish there were easy answers...
Re Jeanne's comments:
You probably didn't know better. I too look back in the early years of my friendship/courtship with my wife and now clearly see the signs. She even was hospitalized at least once when we were in college. But nobody knew it was mental illness. Everyone thought is was stress. But, after our marriage and over time, the situation deteriorated into chaos and frustration.
My religious wedding vows bind me to a high level of duty and honor when it comes to caring for her. However, I've started to believe, with the affirmation of friends, family, and a close spiritual advisor, that I can ensure her care and well being without remaining trapped myself in a situation in which there will never be peace or happiness for any sustained period.
I've also started wondering if my being perceived as her caretaker and protector has actually enabled some behaviors, allowed her to take advantage of me to a certain extent. I've stopped doing this, putting back on her responsibilities for household duties, childcare, and to some extent financial management related to her illness. She is showing a capacity to manage these aspects of her life, lo and behold. Therefore, I'm starting to believe that she could not only survive on her own, but might even thrive as a result.
I'm grateful for your thoughtful response, Randye. I'll look into the resources you mention.
It helps to know your not the only one going thru similar problems. I have been married for 21 years and recognized quickly that my husbands behavior wasnt normal. I was glad he agreed to get counseling but found out this wasnt going to work for him, if he was told something hedidnt want to hear he walked out. It has been a rollercoaster life that i wouldnt wish on anyone. The worst part is looking back and thinking why me and having friends and family tell me I was smart enough to know better, which only makes my self esteem worse.
Oh, Jeanne -
one of the most helpful things I learned at NAMI (National Alliance on Mental Illness) is this "You can't know what no one has told you." In this world of marriage counseling, "superwomen", and self-help books, there just hasn't been enough support and information out there that would help us see that we are dealing with an illness. Of course you are "smart enough"! - but who thinks mental illness is the issue, when we are constantly told that if we work hard enough, we can "fix" it?
I'm so glad you found this site. NAMI may be of help to you too. This is not your fault - or even your husband's fault. It is an illness, and there are things - as you well know - that just don't work.
If you get a chance to take NAMI's Family-to-Family course, it may be of great help too.
Readers of my book know how long it took to even consider that my son's problems were illness-related, not behavioral.
It's the last explanation we want to think about.
hang in there. You are NOT alone, and you are NOT to blame.
The five challenges noted above are absolutely correct. My wife has suffered a severe form of bipolar and related issues all of her life, finally diagnosed 18 years ago (we've been married 23).
The wreckage includes suicide attempts, endangering our children, hocking her wedding rings (twice!), beating my wedding ring to smithereens with a hammer, not to mention a general inability to cope with the simplest matters in life. Hospitalizations are routine.
I long ago decided I'm not really married. I am the caretaker to a person who swings from being an obstreperous child to a sick old woman. Outside of her need to be cared for, and my responsibility to do it, we have virtually no relationship and no common interests or activities. I maintain an active social, philanthropic, and cultural life virtually independent of her. People frequently ask if I'm really married because of the absence of my spouse at most activities.
She is not at fault for much of this, I'm aware. She's trapped in a world of loneliness and often confusion and deserves a great deal of pity and nurture.
Yet I'm so worn down at every level that I now feel I have no choice but to end the marriage. I do not wish to abandon her, and quite likely would not be allowed to by the courts, due to the fact that she's been wholly dependent on me for our entire married life.
That being said, I'm interested in finding resources that will allow me to initiate divorce proceedings while also ensuring her ongoing care. Thank you for any thoughts on how to arrive at the best outcome.
Hi Jim -
Thanks for writing to share your story. I know it must be so difficult - and while you are trying your best to have empathy, it must be so frustrating and heartbreaking.
I am not qualified to suggest legal actions - but others are. While my book is a memoir with applicable resources in sidebars, there are two books that have many more practical steps in them. One is called "Defying Mental Illness", the other "When Someone You Love Has a Mental Illness" also "Loving-Someone-with -Bipolar-Disorder" - search the index for practical tips.
I also highly suggest you reach out to your local NAMI chapter, if you haven't already done so. Family-to-Family is what saved our family by helping me know when I could help my son and when I could not. Whether you do this, or attend a support meeting (sometimes there are speaker meetings as well, with experts in the field) , your chances of meeting others who truly understand - and who may have local info to share - are good here. They may even know a lawyer who can answer your legal questions.
Hang in there, and I hope you find a solution that makes the situation better. It will never, as you know, be perfect...
All these stories sound so familiar. I've been married 34 years, lots of ups and downs, five sons and one daughter? We still have our daughter at home, she will graduate in June, but we are now raising our grandsons 6 & 9. I feel so stuck and not able to be in the house with him and of course he will not leave the house. I just can't figure it out.
Hi Susan - Yes, I agree - is is so hard to figure this all out: the emotions, the system, the places to go for help, the symptoms of the illness, the ways to treat, the ways to relate to a relative with a mental illness. Have you joined NAMI? Although no one has easy answers, the information and support available there can be a way to begin.
You are not alone.
Thank you to the others who shared their experiences as it offered a tinge of comfort in a time of anguish. I am the 15 year spouse of a man whos soul has been robbed by mental illness. I am in a constant state of grief trying to mourn the loss of the man I once knew and loved yet look at him everyday. It has been the most twisted fate imaginable. I know our 8year old son struggles as a result of his fathers illness and the guilt I feel knowing that is undescribable. I have sacraficed my life to continuing caring for this man with nothing in return but anger ,manipulation, and lies. I have considered trying to start anew but do not care to spend the rest of my life looking over my shoulder. May my strength continue to outway my sorrow..best wishes to those in similar prediciments.
The role of caregiver to a spouse with a major mental illness is sometimes a very difficult role to navigate. My husband has panic disorder with agoraphobia and was home bound for 4 years. He also has a phobia of medication and for a period of time was fearful of being alone, so not only was he stuck at home, but anytime I had to be away from home for more than a few hours became a major, dramatic, event. He is no longer home bound, but his world is still pretty small. My feelings range from guilt (how much am I enabling his illness??) to resentment for our lives being dictated by his illness, to grief for the type of relationship I so yearn for, to anger for the difficulty we've had in getting adequate treatment, to love, because despite his illness, he is an amazing soul and after 19 years together, I can't imagine my life without him in it (though I can imagine my life without his illness!). We persevere because we have hope that things will get better. To all the other spouses out there...hang in there. You are not alone!!
Thank you so much for your comment, Lori - I love your words, "he is an amazing soul and after 19 years together, I can't imagine my life without him in it (though I can imagine my life without his illness!). We persevere because we have hope that things will get better" - these are the thoughts that have often kept me going when my son's symptoms seemed unbearable.
Thanks for writing - and you hang in there too.
Hi Randye, It is quite interesting that this subject has come up at this time ... My Wife, Best Friend and Soul Mate suffers from Schizo-Affective Disorder, Obsessive Compulsive Disorder,Anxiety,Panic and post Traumatic Stress Disorder ... We have been Married for 13 year and are in the middle of a "Major Episode" at this time and she is temporarily not at home ... To top it of I am going in tomorrow for further evaluation For Major Depressive Disorder and possible medication among other Things ... My point I think is that Love And Faithfulness trumps all ... We are constantly in a state of flux yet one thing remains, Our Love and Commitment to each other ... Thank You,
Hi Dave - I'm so sorry that you are both facing this challenge - and yet I can feel your commitment to each other even in your e-mail. I'm glad my post may have provided some words of comfort or perhaps a helpful idea. Thanks for writing, and remember to take care of yourself as well :) (healthyplace, NAMI, your own hobbies,etc.)
I've been with my husband 38 years and we have 1 child (a daughter, now 34). Life has had it's ups & downs with his MDD diagnoses 11 years into our marriage. I think the most difficult aspect to deal with, for me, is the anger and the "..it's all about ME, and MY illness" attitude which I perceive almost everyday of my life. He seems always to be angry & suspicious of family, & our very few friends - thinks everyone is out to "use" him, sigh... I must say there are times I wish I would have ended the marriage & tried for a "normal" life but then again - what's normal? Presently, he's retired & I am 4 years away - looking forward to retirement and traveling the US in our 40' motor coach!
Hi Barb -
You make so many excellent, heartfelt points. Thanks for taking the time to comment, andf share your experience. "what's normal?" a really good question... best. Randye
Marriage as intimate emotional relationship between two person of different sex exhibits many psychosocial obligations and demands. However,this coexistence is useful and healthy for spouses and their heirs. When it is about matrimony with mental disorder member in the family, the matter becomes more intrigued. Firstly, every person with mental illness makes a mess in family bosom, beginning from sorrowful emotional influences to deteriorate psychosocial performances of a respective familiar community as whole. On the other side, cohabitation of person with mental illness supply many benefits for itself person. Thus, family as a foundation community offers support and security for its members, as well as mentally ill ones. These prerequisites indicates the main life necessity for mentally ill person. besides other, family life is the best way to manage mentally illness, because it present the natural psychosocial circumstance, where the psychiatric patient recover all its life skills, that was wasted during attack of concrete mental disease.
I am the long time spouse of a husband with a mental illness - depression. We have been together for almost 32 years, married for 28. Your five points are definitely feelings I have experienced over the years. While I suppose I had to act like a single parent, I never let him off the hook and said I was. I always tried to engage him in the children's care or issues even in his deepest depressions. The financial burdens were not caused by job loss - luckily that was one thing he could always hold on to - but things like, for example, when he sold a car and threw away the money. Or threw away his paycheck. Things like that. I did not discuss his depressive episodes with too many people, only my parents and a few close friends. I made my decision to stay with him and so I do not complain about him. As time has gone on, his episodes are less frequent. I have learned to have boundaries. My biggest feelings of guilt are in relation to our children. They are all adults and have good relationships with their father, but I wonder if things would have been better for them to not have had to deal with the episodes a few times a year as they did. Should I have divorced him and had him out of the house? I never lied for him, they were told it was dad's illness not them, but it is still something I worry about. My oldest dd has anxiety issues which is why I think that mental illness can be genetic. However, even after everything, he is still my best friend. I cannot imagine my life without him to be honest. We always say that, if nothing else, life has not been boring.
Of ,yes, I agree -Definitely not a boring life with these challenges! Michele, thank you SO much for your first-hand account, and for sharing how you choose to handle this in your marriage - and especially for the positive attitude, when all is said and done, that your husband is your best friend. Wow.
best to all your family,
I have been with my soulmate for 24 years. I am now 46 and he is 43, so all of our adult life's has been spent together. We are blessed with 2 beautiful boys, 18 and17. Their dad began acting strangely around 9 years ago and was diagnosed with schizoeffective disorder w/pychiotic episodes. It has been a rollercoaster since then. Getting him mental help has been challenging to impossible. I have been through so many emotions and our children too. We refuse to give up on this wonderful man, but it seems as if there is less and less of him all the time. I feel so lost and unable to even get him the help he needs. I've held on but it is starting to take it's toll on me
I'm right there with you. My husband is bipolar with lots of recurring hallucinations, I e..accusing me of cheating with some man that I talk to in the bathroom, on secret calls, etc The man I married has vanished.My empathy, sympathy...are at all time lows. He still wants intimacy, I just want my husband back. I have no answers.Just know, your not alone, with your tears, and feelings of guilt, and trying to find relief!!! Bless you, and all in this situation!
I know exactly what you feel. I am 28 years old and my husband is 30. Diagnosed with the same diagnosis. I often ask myself why me. We've been married for 1.5 years and together 5. I often sit by myself and cry wondering if I made a mistake. How can I handle this for years to come. And even add children to the equation.
I need help he accuse me of cheating with fake people I kneed to know how to put him in a meantal institution anyone know how
Oh my it was nice to read this. I am the wife of a mentally ill man. 11 years now and it's hard. He also struggles with drug addiction but he does pretty good most of the time. But I remember I loved him before and I'll love him during and after. He had never hit me, called me names, or cheated on me. (My first husband was abusive. ) he loves me everyday and tried his hardest. He is home every night and had held a steady job for 8 years. But there are moments when I feel tired. Then I look at him and think how could I leave him now. I'm all he has and he's all I have. We need each other. I love him.


text:
I don't usually do this....
March 6, 2012
11 {comments}:
- joolee said...
i wish i knew - i just watched a navy one on Ebay that ended a couple days ago. around $50 or so - yikes! but it IS one adorable cardigan... :) i'll be on the lookout!
- March 6, 2012 at 10:40 AM
- Lisa said...
Such a pretty cardigan! Good luck with your hunt.
- March 6, 2012 at 10:47 AM
- Amy G said...
The other cardigan that you linked to on ebay would be super easy to replicate with crochet. Good luck on your search!
- March 6, 2012 at 11:42 AM
The visit was useful. Content was really very informative. From www.flowerdeliverymumbai.com
- March 7, 2012 at 5:10 AM
- Decor To Adore said...
I have this cardigan. I am not saying this to torture you.
This cardigan from the get go has pilled horribly. It also, for some reason, loses its shape fairly quickly.
So perhaps this bit of info will cool your passion.
Stop by and enter my giveaway for a $50 Kirklands gift card. - March 7, 2012 at 9:20 AM
- June said...
I bet you could replicate this!!! (In your free time, I mean, ha, not like those children take any time, right?) I thought it was very similar to the sweaters you made during the embellish your knits month. There are some very bulky i-cord (tubular) yarns that you could lay out in the lattice design (securing intersections)to make the collar.
- March 7, 2012 at 11:01 AM
- bits of moxy said...
I know you were looking for this one. But I do have a navy blue small cardigan with a removable lace collar. I'll email you a picture of it tomorrow (Thursday).
- March 7, 2012 at 12:25 PM
- Grosgrain said...
@bits of moxyOh that would be wonderful! Thank you!
- March 7, 2012 at 2:45 PM
- *Emm said...
I bought both in green and navy and was horribly disappointed! It's true they pill like crazy and lose their shape after one hand wash!!!!!
But the heart wants what the heart wants!!! Good luck. - March 7, 2012 at 5:24 PM
- bits of moxy said...
Sorry, didn't get the picture done for today, but will this evening (the morning escaped me) sorry!
- March 8, 2012 at 1:00 PM
- Rachel {polkadots and puppies} said...
Found one on ebay :)
http://www.ebay.com/itm/Anthropologie-Blooming-Lattice-Glee-Cardigan-Field-Flower-Wendi-S-M-L-/180864836695?pt=US_CSA_WC_Sweaters&var=&hash=item6fc8c94ed6#ht_4098wt_1177 - April 18, 2012 at 8:38 AM

subset: commoncrawl


text:
What Is
Public Health
Topics &
Policy &
Publications &
Events &
News &
APHA's Student Assembly is the nation's largest student-led organization dedicated to furthering the development of the next generation of professionals in public health and health-related disciplines. Today, the Student Assembly has upward of 7,000 students and young professionals in a variety of health professions among its membership. Guided by its mission and vision, the Student Assembly works to build capacity for a stronger public health workforce and infrastructure.
APHA's Student Assembly represents and serves students of public health and other health-related disciplines by connecting people interested in working together on public health and student-related issues. Membership in the Student Assembly is automatically granted to all APHA student members. APHA members who are not students are welcome to join as well.
Students who are members of the Student Assembly can run for leadership positions of our Executive Council, including chair, chair-elect, treasurer, treasurer-elect, secretary and secretary-elect. Each position is a one-year term. Additionally, students can also hold leadership positions on the Student Assembly's 16 committees and subcommittees.
Student Assembly leaders are active in the overall governance of APHA. Our chair is an ex-officio voting member of the APHA Executive Board as well as its Governing Council. Our chair-elect is a member of the APHA Inter-Sectional Council Steering Committee. And our immediate past chair is a member of the Council of Affiliates. Furthermore, students apply for and are elected to serve as student representatives in the following APHA boards and committees: Action Board, American Journal of Public Health Editorial Board, Council of Affiliates, Education Board, Publications Board, Science Board and The Nation's Health Advisory Board.
Joining the APHA Student Assembly provides many opportunities to gain valuable leadership experience, further students' education, and network with other public health professionals. Members of the Student Assembly have exclusive access to the American Journal of Public Health and The Nation's Health and are invited to attend APHA's Annual Meeting and Expo, where they can present their own research abstracts and posters. Members also enjoy discounts on publications, travel and other resources, as well as having the opportunity to network with other public health professionals.


text:
His O ness is starting to really make me think about that Katt Williams quote.
Now comes this following story which has be seeing red. I have mad love and respect for black farmers in this country, but sadly, they are not getting any love from Uncle Sam.
"African-American lawmakers are irate that the Obama administration has promised Sen. Blanche Lincoln (D-Ark.) $1.5 billion in farm aid while claiming it can't pay a landmark legal settlement with black farmers.
Six members of the Congressional Black Caucus wrote to President Obama on Thursday calling on him to find a way to compensate black farmers who suffered discrimination in government loan programs during the 1980s and 1990s.
The letter was spurred by behind-the-scenes deal-making in the Senate as part of an effort to pass small-business legislation.
White House Chief of Staff Rahm Emanuel promised Lincoln, who sponsored the provision, that the administration would find a way to pay out $1.5 million in disaster assistance to farmers while they wait for programs in the 2008 farm bill to be implemented.
At the same time, the administration has told black farmers it lacks the funds to pay a $1.2 billion agreement they reached with the Department of Agriculture in 1999 to settle the Pigford class-action lawsuit.
The agriculture disaster relief had been included in the small-business bill until Senate Majority Leader Harry Reid (D-Nev.) pulled it at the last minute in a bid for GOP support.
Members of the black caucus say that if the administration can find $1.5 billion within its administrative funds to pay mostly white farmers in Arkansas and other states, it should be able to pay black farmers who suffered discrimination.
"The current hardships experienced by other farmers should not trump hardships placed on African Americans and Native Americans by the U.S. Department of Agriculture in the past," they wrote. .." [Article]
Yo Rahm get a couple of those farmers on the phone and tell them that you will do right by them. Rahm, even white folks in A-merry-ca love and respect black farmers. They are hard working people who embody what A-merry-ca is all about. Team O doesn't have to worry about scaring white folks when he supports them. They deserve better.
O man, it's Michelle calling from Spain, she has a few choice words for you.
Finally, it's official; the house ethics committee has found three ethical violations against Maxine Walters. Maxine has done some good things in the past, but this...*shaking head*
If the dems think that things are bad now, just wait:
"President Barack Obama, and the high-profile trials could further damage the party's political s standing. Republicans quickly jumped on the latest news. The GOP's House campaign committee released a statement with the headline: "The Dirty Details: Ethics Office Reveals Waters Charges. Panel Has 'Substantial Reason to Believe' Dems Have Another Ethics Problem on Their Hands."
Now now, people in glass houses....


text:
Friday, December 04, 2009
Or at least is does when the bloody thing is working.
Unfortunately it hasn't worked for about a year. It was turned off last winter due to suspicions of "a small leak".
I guess this is an occupational hazard for a water feature. That and people lobbing pound coins down the plughole or going for a number 2 down the chute.
For various reasons it wasn't looked into. It got overlooked. The water feature became a dusty dry stone sculpture that only dreamt of the cool flow of legionella rich water gently caressing its chiselled corners.
Until this week. The idea of restoring water to the "desert" feature suddenly became "of the moment". It became my task for the week. My pre-Christmas mission.
Experts were called in and assembled. Opinions were voiced. An agreement was reached. Existence of the leak needed to be empirically proven or disproven one way of the other.
So an experiment was launched. The water was switched back on. The algae on the stone was moistened with H20 once more.
Like all water features, ours works by recycling the same water round and round. The continual movement prevents stagnation and bacterial build-up. A simple ball-cock mechanism adds fresh mains water whenever necessary to compensate water lost by evaporation or hoodies taking a rare bath. Yesterday, once the system was up and running, we disabled the ball-cock. With no fresh water topping up the system we'd soon be able to see if we were losing any.
We started at 3pm and my brief was to switch the thing off at 5pm when I went home and then back on again tomorrow morning at 9.
At the most we were expecting maybe an inch of water to disappear.
Instead, at 5pm I was gobsmacked to discover that not only was the water feature dry but the entire reservoir tank was also empty. The pump was gamely sucking up hot air.
Where had all that water gone? Several gallons of it had vanished down into the guts of the building in the space of 2 hours without any evidence of it ever having been there.
We have a mystery on our hands.
Further investigations will take place today. I daresay some dull, prosaic explanation will be found. Personally I'd like to imagine that the water has escaped into another dimension, possibly feeding a waterfall in Narnia or topping up a jacuzzi for a couple of half naked elf maidens.
Or perhaps, like a recent episode of Doctor Who, the water has taken on a sinister life of its own and is, even as I write, seeking out some poor unwitting human host whose body can be possessed and turned to some dastardly scheme of world domination. Indeed, it may explain the congregation of strange gentlemen who daily hang around the front of my work building, foaming at the nose with various sized cans of Special Brew growing out of their bottom lips and who have an undissuadable penchant for defecating up the pilasters.
It's something in the water, I'm telling you...
38 comments:
Hopefully you may be able to persuade the half-naked elf maidens that they don't need to nick your water and can prance and dance quite happily in your water feature if they bring the H20 back.
Your employers could charge for entrance and no-one would ever have to pay any Council Tax in LS ever again.
Sounds like a good idea to me.
(Is there really any need for them to be HALF-naked? Surely elf maidens would not do things by halves - they nicked ALL the water after all). - Friday, December 04, 2009 4:22:00 pm
- Steve said...
Gina: good point. An all naked elf jacuzzi it is. Such a thing would make coming to work a pleasure. Sadly I suspect all we'll find is a couple of drowned rats and maybe a colony of malaria carrying mosquitoes.
As for people paying to see me dance... I think both they and I would have to be sectioned first.
;-) - Friday, December 04, 2009 5:47:00 pm
- The bike shed said...
We love a mystery don't we... and I liked the list of labels to go with this post - poo?
- Friday, December 04, 2009 6:57:00 pm
- Steve said...
Mark: rather despairingly, poo seems to crop up quite often in my life.
- Friday, December 04, 2009 7:00:00 pm
- Joe Bloggs said...
Core blimey! High luv a mystery...
...like when will the plumbers jargon; ball-cock, be outlawed?.. and speaking of udder dimentions, could it perwraps be sumfun to do with CERN and stargates and wotnot? - Friday, December 04, 2009 7:28:00 pm
- Steve said...
Joe Bloggs: you're dead right about the ball-cock malingo... I've found with plumbers that balls-up is often a far more fitting epithet. ;-)
- Friday, December 04, 2009 7:47:00 pm
- Savannah said...
What a mystery!! I can't wait to hear the explanation but for now I personally like the Narnia waterfall theory. However I could be persuaded to go along with the jacuzzi line of thinking if you throw in an elf man or two. Semi naked of course.
- Friday, December 04, 2009 8:09:00 pm
- Steve said...
Gypsy: I'm not sure I'd want Orlando Bloom farting in my jacuzzi while I'm sandwiched between Liv Tyler and Cate Blanchett... however, my regard for you is enough that I could possible run to a second jacuzzi just for you and a male elf of naked persuasion... Lord knows enough water went missing to fill two.
- Friday, December 04, 2009 8:14:00 pm
- ArtSparker said...
Remember the rats you couldn't find...they have a luxury spa underneath, a sort of rat Versailles...
In the colonies we have to wait for Dr. Who DVD, I have been looking forward to the current season with the new creative director. - Friday, December 04, 2009 9:49:00 pm
- Steve said...
ArtSparker: rats and spa water - what an interesting mix that would make! As for Doctor Who - we've got one more special with Tennant to go and then the new series will start next year with Steven Moffat at the creative helm. He's a superb writer so I am looking forward to it greatly.
- Friday, December 04, 2009 10:00:00 pm
- Suburbia said...
So funny, I'd go with the different dimension idea, though most likely there is someone with a Very Damp Patch somewhere close by!!
Good Luck with your mission ;) - Friday, December 04, 2009 10:17:00 pm
- Steve said...
Suburbia: in all seriousness a Very Damp Patch somewhere nearby is probably the most likely outcome. Sadly I don't think the Very Damp Patch will be at all attached to an elf maiden - half naked or otherwise. But I can dream.
- Friday, December 04, 2009 10:30:00 pm
I'm going to keep my fingers X'd for a narnia scenario but think damp patch is probably going to win.
- Saturday, December 05, 2009 1:41:00 am
- KAZ said...
Why does the term ball-cock always make me giggle?
Is it because I had a sheltered childhood? - Saturday, December 05, 2009 2:35:00 pm
- Steve said...
Kaz: the term "flange" has the same effect on me though I am unable to specify why.
- Saturday, December 05, 2009 3:37:00 pm
- Clippy Mat said...
reminds me of the smelly water feature in Trump Tower in NY.
obviously it suffered from the same malfunction as the one in your building.
obviously needs a new ballcock AND a flange.
;-) - Saturday, December 05, 2009 11:00:00 pm
- Owen said...
Ah Steve, be careful of places where it is obvious that a tear in the space time continuum is present... if you fall in, you too may end up in Narnia... well, that might be sort fun, actually.
I see I'm not the only one who noticed the ball-cock and the half naked elf maidens associated with this spurting fountain of pleasure... which ran dry after a while... ahh, the vicissitudes of life, and fountains...
Can't wait to hear the results of the sleuthing work which is sure to ensue, to find the truth behind this plumbing mystery. - Monday, December 07, 2009 1:59:00 am
- Steve said...
Owen: investigations will begin in earnest this week (let's hope that Earnest can take it like a man) and we aim to have the fountain of pleasure spurting again as soon as possible (Narnia may experience a loss of service with their water supply as a consequence).
- Monday, December 07, 2009 8:16:00 am
- Selina Kingston said...
Oh I love a mystery. And I can see you as a Colombo figure or maybe at a stretch, Trevor Eve from Waking The Dead - he is one sexy man.
I'm with KAZ about ball-cock. It's such a funny word ... - Monday, December 07, 2009 9:24:00 am
- Steve said...
Selina: I can certainly be as grumpy as Trevor Eve in Waking The Dead... though hopefully not as rude and anti-social!
- Monday, December 07, 2009 10:44:00 am
- French Fancy... said...
I thought the punch line might be 'and they made me stay there until I'd discovered the source of the leak and I had to live at the office for 72hrs'
This bit did make me laugh though *or hoodies taking a rare bath* - Monday, December 07, 2009 1:07:00 pm
- circus monkey said...
I choose to look upon this as a metaphor for the spiritual desert which is Britain to-day. Well, you have to find your consolation where you can, don't you?
- Monday, December 07, 2009 1:14:00 pm
- Steve said...
FF: The saints preserve me from such a fate!
Circus Monkey: a constant leak that just cannot be found...? Hmm. That sums up the modern British economy rather nicely. - Monday, December 07, 2009 2:06:00 pm
- Nota Bene said...
It evaporated due to the rising temperature of excitement...
- Monday, December 07, 2009 2:13:00 pm
- Steve said...
Nota Bene: trust me, that rarely gets above lukewarm...
- Monday, December 07, 2009 3:17:00 pm
- MommyHeadache said...
or um leaked through a pipe leak through a wall, dripping into a room which is now growing humungous amounts of mold ....let us know when you solve this mystery!
- Monday, December 07, 2009 3:32:00 pm
- Steve said...
Emma: the thought of my place of work having mouldy foundations is almost too apt to be true. Almost, but not quite.
- Monday, December 07, 2009 4:46:00 pm
- The Sagittarian said...
It rained like hell here the other night....
- Monday, December 07, 2009 8:57:00 pm
- Steve said...
Amanda: can I just say that the yellow shower had nothing to do with me...
- Monday, December 07, 2009 10:00:00 pm
- Löst Jimmy said...
Ah I do love a good watery tale; is there some mystery fountain of youth which is absorbing the H2O at an accelerated rate or is the Chief Exec taking too much water in his coffee?
I look forward to reading the next installment of this. I bet you the water has seeped through some wall partition waiting to re-emerge during a meeting or training event - Tuesday, December 08, 2009 8:07:00 pm
- Savannah said...
Hi Steve
Don't feel obliged to publish this but I was just out in the garden when I had an overwhelming feeling I should come here and ask after your Grandad. I hope everything is ok and my radar just needs a service and tune up. - Wednesday, December 09, 2009 1:12:00 am
Maybe it was dry water...you know...like how it is over here in the desert parts of the U.S.
Dry heat, dry snow, dry wind...why not dry water?
It's a thought...
=] - Wednesday, December 09, 2009 1:47:00 am
- Steve said...
Löst Jimmy: the thought of the Chief Exec pilfering the waters of youth is hilarious. H. Rider Haggard missed a trick there...!
Gypsy: I haven't been to visit my grandfather since the weekend as I've been ill myself the last few days but according to the hospital he's stable but poorly. Thank you so much for asking.
Sweet Cheeks: dry water...? Yeah, I think my employer could pull that off - the water hasn't disappeared, it was just too dry! - Wednesday, December 09, 2009 8:19:00 am
- Steve said...
Gypsy: your radar is spot-on. I've just heard that my grandfather died in his sleep this morning.
- Wednesday, December 09, 2009 11:36:00 am
- Savannah said...
There are times when I hate that I am right and this is one of those times. It was so peculiar. I just kept getting a voice in my head saying check on Steve's grandad.
I am so sorry for your loss. - Wednesday, December 09, 2009 11:39:00 am
- Steve said...
Gypsy: don't feel bad. If I'd listened to you rather than waiting for news to filter through from the hospitsl I may have been there in time to see him off...
- Wednesday, December 09, 2009 11:44:00 am
- The Joined up Cook said...
Water on the run.
A liquid fugitive.
Some lovely images there.
They seek him here, they seek him there......water, water, everywhere but nowhere. Master of disguise LOL
How will you know this water when you find it. Might someother water masquerading as the runaway water.
Oh, I could go on but I'd better not.
There's a suspicious looking puddle outside. - Friday, December 11, 2009 4:25:00 pm
- Steve said...
AWB: I'm always reminded of Blake's line: expect poison from the standing water... hopefully if the water is moving so much it is safe...?
- Friday, December 11, 2009 4:56:00 pm


text:
Fundamentals of IBM Storage Protect
The IBM Storage Protect (formerly Tivoli Storage Manager or TSM) suite of products includes the Storage Protect Server and many add-on products and components for providing enterprise class data protection and disaster recovery. In this Fundamentals of Storage Protect course we provide a simple, easy-to-understand introduction to many of the components and technologies associated with Storage Protect along with a series of videos to help better understand the content.
This course is intended for students who otherwise have had no prior experience with IBM Storage Protect.
1. Understand the core data storage and protection concepts that IBM Storage Protect is based on
2. Navigate the main IBM Storage Protect command line and GUI interfaces
3. Perform basic data backups and differentiate between backup types, such as incremental backups and complete backups
Course Outline
Day 1
• Unit 1: Concepts and Components
• Unit 2: User Interface Introduction
> Exercise Part 1: Administrative Command Line > Exercise 1 Basic Queries > Exercise 2 Use the help command > Exercise 3 Start a Console Mode window for monitoring > Exercise 4 Open the administrative command line using the dsmadmc command
> Exercise Part 2: Operations Center > Exercise 5 Navigating the Operations Center > Exercise 6 Use the Operations Center Command Builder
> Exercise Part 3: Backup-archive client > Exercise 7 Backup-archive command line introduction > Exercise 8 Backup-archive GUI introduction > Exercise 9 Examine current options in the backup-archive GUI > Exercise 10 Restore and replace files > Exercise 11 Archive selected files > Exercise 12 Retrieve files from archive
Day 2
• Unit 3: Daily Operations
> Exercise 1 Perform an incremental, complete backup > Exercise 2 Perform a selective backup with client-side compression > Exercise 3 Send archive data to the storage pools > Exercise 4 Define a container storage pool > Exercise 5 Change policy to send backup data to container storage pool > Exercise 6 Back up files to DEDUPCONTAINER using inline deduplication > Exercise 7 Perform storage pool backups > Exercise 8 Perform a database backup > Exercise 9 Review the configuration of the database and recovery log > Exercise 10 Back up the database again using multiple streams and compression > Exercise 11 Initiate a storage pool migration > Exercise 12 Review the maintenance tasks in the Operations Center
• Unit 4: Reporting and Monitoring
> Exercise 1 Review security notification > Exercise 2 Configure a mail server for reports > Exercise 3 Review the default reports > Exercise 4 Create a new report and work with report templates > Exercise 5 Review and assign alerts in the Operations Center > Exercise 6 Review the default maintenance tasks in the Operations Center > Exercise 7 Use the Operations Center to review the completed maintenance


text:
Lunchbox Note Stickers, Lunchbox Jokes, Junk Food Lunchbox Notes, Food Lunch Stickers, Stickers, Lunch Stickers, School Lunch Notes
Make the school year super fun with these one of a kind Lunchbox stickers! Add a little something extra to their lunch (or backpacks, or gym bags) with these fun and creative lunchbox notes!
Stickers are 3.5" x 1.75" in diameter
White Matte Finish
10 Stickers Per 8.5" x 11" Sheet
Printed & Mailed
We professionally print our stickers using high quality sticker paper.
Please note: Colors may appear slightly different on monitors then when printed, because all monitors display colors in a different way.
* www.partyinapinch.com
* Instagram: @party.in.a.pinch
* Facebook: Party in a Pinch


text:
Sea Turtles Bamboo Jersey Lined Sweatband
Sea Turtles Bamboo Jersey Lined Sweatband
Work out in comfort with our Bamboo Jersey Lined Sweatband. Lined with our bamboo jersey with a spandex exterior, this band is gentle on your hair and scalp. One of our wider bands at 4 inches, it provides extra coverage for your workout or even running errands.
Super lightweight, soft, silky, and thermoregulating, providing warmth without the weight to keep your ears warm in cold weather and can help keep you cool during hot weather. Bamboo fabric's anti-microbial properties help them stay fresh well. The smooth bamboo jersey also reduces frizz.
Pattern -Sea Turtles. White background with green, blue and purple shades on the turtles.
One size fits all! Circumference: 18" x Width: 4" and 3"
Proudly handmade in Louisville, Kentucky
Shipping is FREE for deliveries within the United States over $100.
Items totaling up to $99.99 will be charged $5.99 for shipping and handling. Ponya Bands uses USPS 1st Class to deliver our orders, and you will receive a tracking number as soon as your order has been mailed.
Shipping to Canada is $8 for orders totaling up to $99.99 and FREE for orders of $100 or more.
Shipping overseas is $13. We've delivered to countries around the world, including New Zealand, China, Guam, Singapore, Australia, Sweden, and the United Kingdom.
All Ponya Bands orders are shipped in eco-friendly mailers, which we encourage you to recycle after use.
Care Instructions
Care Instructions
Although hand washing is ideal for all of our bands, you can machine wash, preferably on gentle or delicate cycle, and dry on low heat.
Note: Never ever use fabric softener on our bands or any technical gear. It clogs the wicking channels.
Pull over your ears
Sometimes your sunglasses slip or your earbuds fall out. Wearing a Bamboo Jersey Lined Sweatband and pulling it over your ears can help. With the thermo-regulating power of bamboo, you'll stay comfortable no matter the temperature.


text:
Welcome to
GRADE B MAPLE SYRUP.org
Why It's Good For Ya.
Grade B Maple Syrup is not only a delicious sweetener commonly used as a condiment for additional flavoring on food and for use in baking, but it's also a very healthy treat. In it's unrefined form, it contains a ton of nutritional content. Grade B Maple Syrup includes vast portions of these vitamins and a large amount of amino acids in a single serving. For this reason, it is preferred by health connoisseurs over many other table top condiments, such as, refined sugar, corn syrup alternatives, and other sweetner containing artifical supplements like aspartame. Grade B Maple Syrup is darker in color than other grades of syrup, and has a strong, slightly caramel tasting flavor. It is because of this strong flavor that it is also often used in cooking and baking, as well as flavoring special foods.
What Makes Grade B Maple Syrup
So Nutritious?
Grade B Syrup is dark and is usually yielded in the later seasons by collecting sap from maple trees. The reason for it's darker, thicker appearance is the different concentrations of sugars present both early and later in the season. Sap from the start of the season produces the palest syrup, while the later season creates the darkest and most rich syrups. Organic Grade B Maple Syrup also does not go through the same refinement process as commercial grade maple syrups. This artificial process strips many of the natural, essential nutrients out of it, as well as unnecessarily adding extra sugar and chemicals. These are just a few of the reasons why organic Grade B Maple Syrup is recommended for the Master Cleanse aka 'The Lemonade Diet'.
Nutrition and Health Benefits
Grade B Maple Syrup is an excellent source of the mineral Manganese, which is an essential cofactor in a great number of enzymes that help to produce energy and also support antioxidant defense. The oxidative enzyme 'superoxide dismutase' disarms free radicals within the mitochondria (the factories within our cells that produce energy) and requires 'Manganese' to operate. Just one ounce of Grade B maple syrup supplies up to 22% of the daily value for this mineral. Manganese also plays a significant role in eliminating fatty acids and cholesterol by being a catalyst in synthesis.
As well as being a great source of this wonderful mineral, it is also a terrific source of Zinc. Zinc not only acts as an antioxidant, but also an immune system supporter and is very beneficial to the function of the heart. Many immune cells depend upon zinc in order to function optimally. This mineral is a necessity for proper function of endothelial cells in the blood vessels and helps to prevent damage caused by oxidized cholesterol.
The vitamins present in pure Grade B maple syrup are PP (Niacin), B5 (Pantothenic Acid), B2 (Riboflavin), Folic Acid, B6 (Pyridoxine), Biotin, and Vitamin A. Vitamins are essential, organic nutrients that serve as vital helpers in cell function. Niacin participates in the energy metabolism of every body cell and is unique among the B vitamins in that the body can make it directly from protein. Two other B vitamins - pantothenic acid and biotin - are also very important in energy metabolism. Pantothenic acid was first recognized as a substance that stimulates growth. It is a component of a key enzyme that makes possible the release of energy from the energy nutrients. Riboflavin also facilitates energy production in the body.
Organic Grade B Maple syrup not only contains trace amounts of these vitamin and minerals, but also amino acids which are the building blocks of protein. Vitamin B6 has long been known to play roles in protein and amino acid metabolism. In the cells, vitamin B6 helps to convert one kind of amino acid, which the cells have in abundance, to another, which they need in larger amounts. Vitamin A is a versatile vitamin, playing diverse roles in vision, mantnance of body linings and skin, and immune defenses.
Continue to
Copyright © 2009 GradeBMapleSyrup.org. All Rights Reserved.
About Grade B Syrup
Why Grade B?
The Lemonade Diet
Buy Grade B Maple Syrup
Make Maple Syrup
Common FAQ
Save the Forest
Contact Us


text:
Flow-Based Programming (FBP)
NoFlo is a JavaScript implementation of Flow-Based Programming (FBP). Separating the control flow of software from the actual software logic. Helping you organize large applications easier than traditional OOP paradigms, especially when importing and modifying large data sets.
NoFlo and Node.js
FBP itself is not a new idea: it comes from a term IBM used in the 70s to define the concepts of more manageable business workflows. NoFlo, however, refreshes these concepts and brings them to web and Node.js applications.
NoFlo library
The MIT-licensed NoFlo library can either be used to run full flow-based applications or as a library for making complex workflows or asynchronous processes more manageable. It can also be used as an Extract, Transform, Load (ETL) tool in business applications.
NoFlo components can be written in any language that transpiles into JavaScript including ES6.


text:
The Society of Naval Architects and Marine Engineers (SNAME) is committed to protecting your privacy. Our privacy policy covers what information SNAME collects through our website and how we use that information.
What information do we collect? SNAME collects information volunteered by visitors, such as when they sign up for the newsletter, become a member, subscribe to a publication, or make a donation. Information SNAME collects in these interactions includes personally identifiable information such as your name, e-mail address, mailing address, and telephone number ("personal information"). No personal information is collected about individuals without their knowledge.
SNAME also collects non-personal, general information about your interaction with our website. General information may include broad demographic information such as the geographic regions most interested in our site and what type of browser most of our visitors prefer. This information helps us to better maintain and update our site to be the most user-friendly and relevant.
We may use third party services to track how our visitors interact with our website, including how they navigate around a web page and the most commonly clicked links on each page. These services may also collect technical information such as the browser version and operating system used by visitors to our website. To analyze traffic to our site, we and our third party service providers may use cookies, tags, web beacons, tracking pixels, and similar technologies. You can choose to have your computer warn you each time a cookie is being sent, or you can choose to turn off all cookies through your browser settings. If you turn cookies off, you may not have access to many features that make your site experience more efficient and some of our services may not function properly. How does SNAME use my information? SNAME has a strict policy against selling or sharing membership lists and donor information. Under this policy, personal information provided to SNAME is never shared or sold to any other organization - public, private, or nonprofit. SNAME may permit certain trusted partners to access your information in connection with their performance of services to maintain and operate the website and certain features on the website. We do not otherwise disclose any personal information or any information about your individual visits to our site except when we believe in good faith (i) that the law requires such disclosure or (ii) that such disclosure is necessary to protect the rights and property of SNAME or others. SNAME collects and uses personal information for the following purposes: • To run, operate, or improve our site • To personalize the user experience • To run a promotion, contest, survey, or other site feature • To communicate with those who have provided contact information by any reasonable means
E-mail Policy SNAME provides forms on its websites where users can sign-up to receive e-mail newsletters and periodic notices about relevant topics. SNAME limits communications by e-mail to users who have opted in to receive e-mail communications or in the course of business for online transactions including confirmation of memberships, subscriptions, or contributions. Each e-mail sent contains a link for you to cease receiving e-mail from us, or to change your expressed interests.
Security of Your Information All data is stored on secure, firewall-protected servers and is only accessible to authorized SNAME and partner staff. Sensitive data, such as credit card and other financial information, is collected on secure forms and transmitted using industry-standard Secure Socket Layer Encryption (SSL) technology. At no time is credit card information stored on the SNAME website. Unfortunately, no data transmission over the Internet can be guaranteed 100% secure. As a result, while we strive to protect your personal information, SNAME cannot ensure the security of any information you transmit to us, and you do so at your own risk. SNAME takes industry-standard precautions to protect credit card information. But users who prefer not to use credit cards for online transactions can process payments by mail or by phone: SNAME 99 Canal Center Plaza Suite 310 Alexandria, VA 22314
+1 703-997-6701 Links to Third Party Sites SNAME's websites provides links to third party sites. While we make efforts to choose our links carefully, we cannot take any responsibility for the content of linked websites, or for the privacy or security policies of websites to which we link. Since we do not control these websites, we encourage you to review the privacy and security policies posted on these third party websites prior to any use. Privacy Policy Changes We may amend this privacy policy from time to time. Your continued use of our website after the date that such notices are posted will be deemed your agreement to the changed terms.
Privacy Policy Acceptance By using our site, you affirm your acceptance of this policy. If you do not agree to this policy, please do not use our site.
Contact If you have any questions about this privacy policy, please contact at +1 703-997-6701 or firstname.lastname@example.com.


text:
Leviton Circuit breakers are engineered to the highest standards so you can feel confident with every installation. All hot and neutral wires terminate at custom lugs in the panel, not at the circuit breaker, so the entire panel can be wired at rough-in without circuit breakers installed. Branch circuit breakers are easily plugged-on at final installation and feature LED colour indicators in the handle so user can easily see operational status at-a-glance.
****For security reasons, we cannot accept returns on circuit breakers.
- An all plug-on design, no wiring to the circuit breaker
- Designed with the most advanced safety technology to assure homes are Code compliant and provide the highest degree of protection against electrical fire and shock for the user
- More precise trips based on current, even in extreme temperatures (-40¼C to 85¼C, without re-rating)
- Rocker-style switches require less activation force
- 10KA Interrupt Rating
- For applications up to 60A when using copper wire; or 50A when using aluminum wire
VIDEO : The Leviton Load Center - The Most Intelligent Residential Breaker System
Technical Information
Type: StandardDimensions: 3.9" H x 2.0" W x 3.1" D
Weight: 0.85 lbs
Wiring: All Plug-on
Ampage: 30 A
Voltage: 120/240 VAC
Pole: 2
Short Circuit Current Rating: 10 KA
Operating Temperature: -40¡C to 85¡C


text:
Hot tags Influenza Diet and Nutrition Diseases and Disorders Exercise and Fitness Medical Research
Science subject and location tags
This tag library is an archive and is no longer updated. For current content go to ABC News.
RSS | MapAustralian Football League
What is the drug AOD-9604?
Friday, 26 July 2013
Ask an Expert What does the drug AOD-9604, which has been used by some Australian football players, actually do?
Strapping shoulders doesn't reduce injury
Thursday, 30 July 2009
The swathe of tape that adorns the shoulders of Australian Rules Football players may be a thing of the past with a study showing it has no impact on preventing dislocation.
Learning footy could be key to active life
Monday, 24 November 2008
Learning how to kick, catch and throw a ball at the age of 10 could be the best set up for physically active life, new research suggests.
Study reveals AFL drinking habits
Monday, 3 November 2008
An Australian study has revealed for the first time the drinking habits of elite Australian football players, showing that unlike the rest of the population, AFL players do their riskiest drinking outside the football season.


text:
Film - War Machine
Watch the new trailer for War Machine (and yes, that really is Brad Pitt)...
In a film for our times, writer-director David Michôd (Animal Kingdom) recreates a U.S. General's roller-coaster rise and fall as part reality, part savage parody – raising the spectre of just where the line between them lies today. His is an anti-establishment, pro-soldier exploration in the form of an absurdist war story of a born leader's ultra-confident march right into the dark heart of folly. At the story's core is Brad Pitt's sly take on a successful, charismatic four-star general who leapt in like a rock star to command NATO forces in Afghanistan, only to be taken down by his own hubris and a journalist's no-holds-barred expose. War Machine addresses the debt we owe to soldiers to question the purposes to which they are being directed.
The Netflix original film is inspired by the book The Operators: The Wild & Terrifying Inside Story of America's War in Afghanistan by the late journalist Michael Hastings. Joining Pitt in War Machine is a highly decorated cast including Emory Cohen, RJ Cyler, Topher Grace, Anthony Michael Hall, Anthony Hayes, John Magaro, Scoot McNairy, Will Poulter, Alan Ruck, Lakeith Stanfield, Josh Stewart, Meg Tilly, Tilda Swinton and Sir Ben Kingsley. Brad Pitt, Dede Gardner, Jeremy Kleiner, Ted Sarandos and Ian Bryce serve as producers. James W. Skotchdopole, Pauline Fischer, Sarah Bowen and Sarah Esberg serve as executive producers. The film will be released on Netflix on May 26th, 2017.


text:
Despite the many correct and profound reflections on art and media the late, great Roger Ebert gave to the world, one he got incredibly wrong was about video games. He said, essentially, they can never be art; you can read his piece here. (Don't judge him too harshly. He made a decent, if old-fashioned, argument.) The trouble, of course, is that the video game industry has been growing by leaps and bounds, creatively, technologically, and financially year after year to the point where video game "box office" eclipses theatrical film business by quite a large margin.
This is where filmmaker Jeremy Snead enters. He has made a documentary film entitled Video Game: The Movie which seeks to discuss and get to the bottom of how video games are received culturally, both within and outside of the gaming community. He believes gamers and the gaming industry are largely misunderstood and wants to look at the history, the culture, the creation, and the future of the medium. As you can see in the video, he spoke to a huge number of visionaries in the field and in the culture, including a lot of Nerdist friends and family, like Wil Wheaton, Alison Haislip, and Chris Hardwick himself. Snead has this to say about the film:
Video Games: The Movie is a feature length documentary which aims to tell the untold story of video games by an in depth look into not only how games are made, marketed and consumed by looking back at the industryâs history, current trends as well as the evolution of gamer culture. Where is the industry and the audience headed? Is it the same place? The entire story will be told through the eyes of game developers, publishers, and consumers. The film is not just another film about the games industry but will attempt something much more ambitious: the question of what it means to be a gamer, a game maker and where âvideo games" will be in 10, 20, even 100 years from now.
The film is done, and the initial Kickstarter goal of $60,000 for post-production costs has already been met. But, since there are still a few weeks left and quite a lot of good rewards available at all of the different pledge levels, we thought we'd feature it. The money from the campaign is going toward editing, licensing clips, scoring, narration, and motion graphics. Any money that goes beyond the amount asked will help make it the best film it can be. Rewards still available include digital downloads, DVD and Blu-ray copies, posters, t-shirts, screenings and Q&A tickets, soundtracks, and you can even be in the film or be credited as producer.
You can support independent film, documentary film, and video game culture all with one click of a mouse. And, you know, some typing of information. Interested? Click here to pledge.


text:
Levemir is a long-acting insulin used to treat diabetes. Since it is long acting, it can be injected once or twice a day. Check your blood sugar as directed by your doctor.
Levemir Overview
Levemir is a prescription medication used to treat type 1 and type 2 diabetes. Levemir, a long-acting form of insulin, works by replacing the insulin that is normally produced by the body and by helping the body to use sugar for energy. It also stops the liver from producing more sugar.
This medication comes in an injectable form and is typically injected under the skin once or twice daily.
Common side effects include redness and skin thickening at the injection site, weight gain, and constipation.
How was your experience with Levemir?
Levemir Cautionary Labels
Uses of Levemir
Levemir is a man-made long-acting insulin that is used to control high blood sugar in adults and children with type 1 and type 2 diabetes.
This medication may be prescribed for other uses. Ask your doctor or pharmacist for more information.
Insulin Detemir
For more information on this medication choose from the list of selections below.
Levemir Drug Class
Levemir is part of the drug class:
Side Effects of Levemir
Levemir may cause serious side effects. See "Drug Precautions" section.
Common side effects of Levemir include:
- Low blood sugar (hypoglycemia)
- Reactions at the injection site (local allergic reaction). You may get redness, swelling, and itching at the injection site. If you keep having skin reactions or they are serious, talk to your doctor.
- Weight gain. This can occur with any insulin therapy. Talk to your doctor about how Levemir can affect your weight.
Tell your doctor if you have any side effect that bothers you or does not go away.
These are not all of the possible side effects from Levemir. Ask your doctor or pharmacist for more information.
Call your doctor for medical advice about side effects. You may report side effects to the FDA at 1-800-FDA-1088.
Levemir Interactions
Tell your doctor about all the medicines you take including prescription and non-prescription medicines, vitamins, and herbal supplements. Especially tell your doctor if you take:
- angiotensin-converting enzyme (ACE) inhibitors such as benazepril (Lotensin), captopril (Capoten), enalapril (Vasotec), fosinopril (Monopril), lisinopril (Prinivil, Zestril), moexipril (Univasc), perindopril (Aceon), quinapril (Accupril), ramipril (Altace), and trandolapril (Mavik)
- beta blockers such as atenolol (Tenormin), labetalol (Normodyne), metoprolol (Lopressor, Toprol XL), nadolol (Corgard), and propranolol (Inderal)
- certain cholesterol-lowering medications such as fenofibrate (Antara, Lofibra, TriCor, Triglide) and gemfibrozil (Lopid)
- clonidine (Catapres, Catapres-TTS, in Clorpres)
- danazol
- disopyramide (Norpace, Norpace CR)
- diuretics ('water pills')
- fluoxetine (Prozac, Sarafem, in Symbyax)
- hormone replacement therapy
- isoniazid (INH, Nydrazid)
- lithium (Eskalith, Lithobid)
- medications for asthma and colds
- medications for mental illness and nausea
- monoamine oxidase (MAO) inhibitors, including isocarboxazid (Marplan), phenelzine (Nardil), selegiline (Eldepryl), and tranylcypromine (Parnate)
- octreotide (Sandostatin)
- oral contraceptives (birth control pills)
- oral medications for diabetes
- oral steroids such as dexamethasone (Decadron, Dexone)
- methylprednisolone (Medrol), and prednisone (Deltasone)
- pentamidine (NebuPent, Pentam)
- reserpine
- salicylate pain relievers such as aspirin, choline magnesium trisalicylate (Tricosal, Trilisate), choline salicylate (Arthropan), diflunisal (Dolobid), magnesium salicylate (Doan's, others), and salsalate (Argesic, Disalcid, Salgesic)
- somatropin (Nutropin, Serostim, others)
- sulfa antibiotics
- thyroid medications
This is not a complete list of Levemir drug interactions. Ask your doctor or pharmacist for more information.
Levemir Precautions
Levemir can cause serious side effects, including:
- Low blood sugar (hypoglycemia). Symptoms of low blood sugar may include:
- dizziness or lightheadedness
- shakiness
- hunger
- fast heart beat
- tingling in your hands, feet, lips or tongue
- trouble concentrating or confusion
- blurred vision
- slurred speech
- anxiety or mood changes
- headache
- sweating
Very low blood sugar (hypoglycemia) can cause loss of consciousness (passing out), seizures, and death. Talk to your doctor about how to tell if you have low blood sugar and what to do if this happens while taking Levemir. Know your symptoms of low blood sugar. Follow your doctor's instructions for treating low blood sugar.
Talk to your doctor if low blood sugar is a problem for you. Your dose of Levemir may need to be changed.
- Skin thickening or pits at the injection site (lipodystrophy). Change (rotate) the area where you inject your insulin to help prevent these skin changes from happening. Do not inject insulin into areas of skin that have thickening or pits.
- Serious allergic reactions. Levemir can cause life-threatening symptoms. Get medical help right away if you have any of these symptoms of an allergic reaction:
- a rash all over your body
- itching
- shortness of breath
- trouble breathing (wheezing)
- fast heartbeat
- sweating
- feel faint
Do not use Levemir if:
- Your blood sugar is too low (hypoglycemia).
- You are allergic to anything in Levemir.
While using Levemir you should avoid alcohol. Alcohol, including beer and wine, may affect your blood sugar when you take Levemir.
You may have difficulty concentrating or reacting if you have low blood sugar (hypoglycemia). Be careful when you drive a car or operate machinery. Ask your doctor if it is alright to drive if you often have:
- low blood sugar
- decreased or no warning signs of low blood sugar
Levemir Food Interactions
Follow dietary (food) recommendations made by your doctor and dietitian which should include a healthy diet. Skipping meals should be avoided as this can cause problems maintaining blood sugar control. There are no specific foods to avoid while using Levemir.
Inform MD
Before you use Levemir, tell your doctor if you:
- are allergic to Levemir or any of its ingredients
- have liver or kidney problems
- have any other medical conditions. Some medical conditions can affect your insulin needs and your dose of Levemir.
- are pregnant or plan to become pregnant
- are breastfeeding or plan to breastfeed
Tell your doctor about all the medicines you take, including prescription and non-prescription medicines, vitamins and herbal supplements. Levemir may affect the way other medicines work, and other medicines may affect how Levemir works.
Levemir and Pregnancy
Tell your doctor if you are pregnant or plan to become pregnant.
The FDA categorizes medications based on safety for use during pregnancy. Five categories - A, B, C, D, and X, are used to classify the possible risks to an unborn baby when a medication is taken during pregnancy.
Levemir falls into category B. In animal studies, pregnant animals were given Levemir, and some babies had problems.
It is very important to maintain control of your blood sugar levels during pregnancy. Your doctor will decide which insulin is best for you during your pregnancy.
Levemir and Lactation
Tell your doctor if you are breastfeeding. You and your doctor should talk about the best way to manage your diabetes while you are breastfeeding. Levemir has not been studied in nursing women.
Levemir Usage
Use Levemir only as prescribed.
This medication comes in an injectable form and is typically injected under the skin once or twice daily.
If Levemir will be injected once a day, it should be given with the evening meal or at bedtime
- Only use Levemir if it appears clear and colorless. There may be air bubbles. This is normal. If it looks cloudy, thickened, or colored, or if it contains solid particles do not use it.
- Inject Levemir into the skin of your stomach area, upper arms, or thighs. Levemir may affect your blood sugar levels sooner if you inject it into the skin of your stomach area or upper arm. Never inject Levemir into a vein or into a muscle.
- Change (rotate) your injection site within the chosen area (for example, stomach or upper arm) with each dose. Do not inject into the exact same spot for each injection.
- Check your blood sugar levels. Ask your doctor what your blood sugars should be and when you should check your blood sugar levels.
- Never mix Levemir with other insulin products.
- Never use Levemir in an insulin pump.
How to use the Levemir 10 ml vial:
1. Check to make sure that you have the correct type of insulin. This is especially important if you use different types of insulin.
2. Look at the vial and the insulin. Levemir should be clear and colorless. The tamper-resistant cap should be in place before the first use. If the cap has been removed before your first use of the vial, or if the insulin is cloudy or colored, do not use the insulin and return it to your pharmacy.
3. Wash your hands with soap and water.
4. If you are using a new vial, pull off the tamper-resistant cap. Before each use, wipe the rubber stopper with an alcohol wipe.
5. Do not roll or shake the vial. Shaking the vial right before the dose is drawn into the syringe may cause bubbles or foam. This can cause you to draw up the wrong dose of insulin. The insulin should be used only if it is clear and colorless.
6. Pull back the plunger on your syringe until the black tip reaches the marking for the number of units you will inject.
7. Push the needle through the rubber stopper into the vial.
8. Push the plunger all the way in. This inserts air into the vial.
9. Turn the vial and syringe upside down and slowly pull the plunger back to a few units beyond the correct dose that you need.
10. If there are air bubbles, tap the syringe gently with your finger to raise the air bubbles to the top of the needle. Then slowly push the plunger to the correct unit marking for your dose.
11. Check to make sure you have the right dose of Levemir in the syringe.
12. Pull the syringe out of the vial.
13. Inject your Levemir right away as instructed by your doctor.
If you clean your injection site with an alcohol swab, let the injection site dry before you inject. Talk with your doctor about how to rotate injection sites and how to give an injection.
Injecting Levemir with a syringe:
1. Pinch your skin between two fingers, push the needle into the skinfold, using a dart-like motion and push the plunger to inject the insulin under your skin. The needle will be straight in.
2. Keep the needle under your skin for at least 6 seconds to make sure you have injected all the insulin. After you pull the needle from your skin you may see a drop of Levemir at the needle tip. This is normal and has no effect on the dose you just received.
3. If blood appears after you pull the needle from your skin, press the injection site lightly with an alcohol swab. Do not rub the area.
4. After each injection, remove the needle without recapping and dispose of it in a puncture-resistant container. Used syringes, needles, and lancets should be placed in sharps containers (such as red biohazard containers), hard plastic containers (such as detergent bottles), or metal containers (such as an empty coffee can). Such containers should be sealed and disposed of properly.
Levemir FlexPen - Instructions For Use
Levemir FlexPen is a disposable dial-a-dose insulin pen. You can select doses from 1 to 60 units in increments of 1 unit. Levemir FlexPen is designed to be used with NovoFine needles. Levemir FlexPen should not be used by people who are blind or have severe eyesight problems without the help of a person who has good eyesight and who is trained to use the Levemir FlexPen the right way.
Getting ready
Make sure you have the following items:
- Levemir FlexPen
- NovoFine disposable needles
- Alcohol swab
Wash your hands with soap and water. Before you start to prepare your injection, check the label to make sure that you are taking the right type of insulin. This is especially important if you take more than 1 type of insulin. Levemir should look clear and colorless.
A. Pull off the pen cap. Wipe the rubber stopper with an alcohol swab.
B. Attaching the needle. Remove the protective tab from a new disposable needle. Attach the needle tightly onto your FlexPen. It is important that the needle is put on straight. Never place a disposable needle on your insulin detemir FlexPen until you are ready to give your injection.
C. Pull off the big outer needle cap.
D. Pull off the inner needle cap and throw it away. Always use a new needle for each injection to cut down the chance of infection and to prevent blocked needles. Be careful not to bend or damage the needle before use. To reduce the risk of needle sticks, never put the inner needle cap back on the needle.
Giving the airshot before each injection
Before each injection, small amounts of air may collect in the cartridge during normal use. To avoid injecting air and to ensure you take the right dose of insulin:
E. Turn the dose selector to select 2 units.
F. Hold your Levemir FlexPen with the needle pointing up. Tap the cartridge gently with your finger a few times to make any air bubbles collect at the top of the cartridge.
G. While you keep the needle pointing upwards, press the push-button all the way in. The dose selector returns to 0. A drop of insulin should appear at the needle tip. If not, change the needle and repeat the procedure no more than 6 times. If you do not see a drop of insulin after 6 times, do not use the Levemir FlexPen and contact Novo Nordisk at 1-800-727-6500. A small air bubble may remain at the needle tip, but it will not be injected. Check and make sure that the dose selector is set at 0.
Selecting your dose
H. Turn the dose selector to the number of units you need to inject. The pointer should line up with your dose. The dose can be corrected either up or down by turning the dose selector in either direction until the correct dose lines up with the pointer. When turning the dose selector, be careful not to press the push-button as insulin will come out. You cannot select a dose larger than the number of units left in the cartridge. You will hear a click for every single unit dialed. Do not set the dose by counting the number of clicks you hear. Do not use the cartridge scale printed on the cartridge to measure your dose of insulin.
Giving the injection
Do the injection exactly as shown to you by your doctor. Your doctor should tell you if you need to pinch the skin before injecting. Wipe the skin with an alcohol swab and let the area dry.
I. Insert the needle into your skin. Inject the dose by pressing the push-button all the way in until the 0 lines up with the pointer. Be careful only to push the button after the needle is in the skin. Turning the dose selector will not inject insulin.
J. Keep the needle in the skin for at least 6 seconds, and keep the push-button pressed all the way in until the needle has been pulled out from the skin. This will make sure that the full dose has been given. You may see a drop of insulin detemir at the needle tip. This is normal and has no effect on the dose you just received. If blood appears after you take the needle out of your skin, press the injection site lightly with an alcohol swab. Do not rub the area.
After the injection
Carefully remove the needle from the pen after each injection. This helps to prevent infection and leakage of insulin. You can carefully recap the needle with the bigger outer cap to help make it easier to remove the needle.
Do not recap the needle with the small inner cap. Recapping with this small part can increase your chances of having a needle stick injury.
Put the needle in a sharps container or some type of hard plastic or metal container with a screw top such as a detergent bottle or empty coffee can. These containers should be sealed and thrown away the right way. Check with your doctor about the right way to throw away used syringes and needles. There may be local or state laws about how to throw away used needles and syringes. Do not throw away used needles and syringes in household trash or recycling bins.
K. Put the pen cap on the Levemir FlexPen and store the Levemir FlexPen without the needle attached. The Levemir FlexPen prevents the cartridge from being completely emptied. It can deliver 300 units then you should throw it away in a sharps container or some type of hard plastic or metal container with a screw top, such as a detergent bottle or empty coffee can.
L. If your Levemir FlexPen is not working the right way, follow the steps below:
- Attach a new NovoFine needle.
- Remove the big outer needle cap and the inner needle cap.
- Do an airshot to ensure that the needle is not clogged.
- Put the big outer needle cap onto the needle. Do not put on the inner needle cap.
- Turn the dose selector so the dose indicator window shows 20 units.
- Hold the Levemir FlexPen so the needle is pointing down.
- Press the push-button all the way in.
Function Check
The insulin should fill the lower part of the big outer needle cap to the marker. If Levemir FlexPen has released too much or too little insulin, do the function check again. If the same problem happens again, do not use your Levemir FlexPen.
- Your FlexPen is designed to work accurately and safely. It must be handled with care. If you drop your FlexPen it could get damaged. If you are concerned that your FlexPen is damaged, use a new one. You can clean the outside of your FlexPen by wiping it with a damp cloth. Do not soak or wash your FlexPen. Soaking or washing the FlexPen could damage it. Do not refill your FlexPen.
- Remove the needle from the Levemir FlexPen after each injection. This helps to cut down your chance of infection, prevent leakage of insulin. Be careful when handling used needles to avoid needle sticks and transfer of infections.
- Keep your Levemir FlexPen and needles out of the reach of children.
- Use Levemir FlexPen as directed to treat your diabetes. Needles and Levemir FlexPen must not be shared.
- Always use a new needle for each injection.
- Novo Nordisk is not responsible for harm due to using this insulin pen with products not recommended by Novo Nordisk.
- As a safety measure, always carry a spare insulin delivery device in case your insulin detemir FlexPen is lost or damaged.
- Remember to keep the disposable Levemir FlexPen with you. Do not leave it in a car or other location where it can get too hot or too cold.
Levemir Dosage
Use Levemir exactly as prescribed by your doctor. Follow the directions on your prescription label carefully. Your doctor will determine the best dose for you.
Your insulin dosage may need to change because of:
- illness
- change in diet
- stress
- change in physical activity or exercise
- other medicines you take
The starting dose will be individualized based on the type of diabetes and whether you have been on insulin before.
Do not change your dosage unless your doctor instructs you to do so.
Levemir Overdose
- If you administer too much Levemir, your blood sugar may fall low (hypoglycemia). You can treat mild low blood sugar (hypoglycemia) by drinking or eating something sugary right away (fruit juice, sugar candies, or glucose tablets). It is important to treat low blood sugar (hypoglycemia) right away because it could get worse and you could pass out (lose consciousness). You should know the symptoms of low blood sugar.
- If you pass out you will need help from another person or emergency medical services right away.
- If you forget to take your dose of Levemir, your blood sugar may go too high (hyperglycemia). If high blood sugar (hyperglycemia) is not treated it can lead to serious problems, like loss of consciousness (passing out), coma or even death.
Other Requirements
- Keep all unopened Levemir in the refrigerator between 36° to 46°F (2° to 8°C).
- Do not freeze. Do not use Levemir if it has been frozen.
- Keep unopened Levemir in the carton to protect from light.
Levemir in use:
- Vials
- Keep opened vials of Levemir in the refrigerator or at room temperature below 86°F (30°C) away from direct heat or light.
- Throw away a vial that has always been kept in the refrigerator after 42 days of use, even if there is insulin left in the vial.
- Throw away a vial that has been kept at room temperature 42 days after it is first kept out of the refrigerator, even if there is insulin left in the vial.
- Levemir FlexPen
- Keep at room temperature below 86°F (30°C) for up to 42 days.
- Do not store a Levemir FlexPen that you are using in the refrigerator.
- Do not store Levemir with the needle attached.
- Keep Levemir FlexPen away from direct heat or light.
- Throw away used Levemir FlexPens after 42 days, even if there is insulin left in them.
Keep Levemir and all medicines out of the reach of children.