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Omega 6 oils are also a relatively new addition to the diet, making their appearance in the early 1900s. Oils in this category include vegetable, canola, cottonseed, soybean, corn, safflower, sunflower, etc. Consumption of these oils increased in the 1950s when they were promoted as a "healthy" alternative to saturated fats (they weren't). Research is now showing that consumption of these oils increases risk for obesity and can damage thyroid function. They contribute to insulin resistance and inflammation, further aggravating the poor pancreas.
11. Get regular eye exams: Diabetic retinopathy is caused by elevated levels of blood sugar, which can happen when diabetes goes out of control. The disease can damage the blood vessels around the eye and retina, leading to blurred vision and blindness. Diabetic retinopathy cannot be cured, and often has no early symptoms, which makes it difficult to catch. Diabetics should make sure they get regular eye exams, for early detection and treatment.
Glycated hemoglobin (A1C) test. This blood test indicates your average blood sugar level for the past two to three months. It measures the percentage of blood sugar attached to hemoglobin, the oxygen-carrying protein in red blood cells. The higher your blood sugar levels, the more hemoglobin you'll have with sugar attached. An A1C level of 6.5 percent or higher on two separate tests indicates you have diabetes. A result between 5.7 and 6.4 percent is considered prediabetes, which indicates a high risk of developing diabetes. Normal levels are below 5.7 percent.
One of the most advanced alternatives comes from the Diabetes Research Institute (DRI) in the US, which is developing a bioengineered mini-organ where insulin-producing cells are encapsulated within a protective barrier. Two years ago, the DRI announced that the first patient treated in an ongoing Phase I/II trial no longer requires insulin therapy.
The vast majority of people with diabetes, on the other hand, have the type 2 form, which is sometimes referred to as adult-onset diabetes, even though more and more children these days are developing this type. Lifestyle changes can play a vital role in controlling type 2; they are generally the initial and preferred method for regulating blood sugar levels, although oral medication and even insulin may eventually need to be added to the treatment regimen.
Big pharma are in the early stages of developing their own cell therapy approaches for diabetes. Novo Nordisk, one of the largest providers of diabetes treatments, is bidding for stem cells and an encapsulation device, stating that the first clinical trial could take place in the "next few years." Sanofi, also a big name in diabetes, is working with the German Evotec in a beta cell replacement therapy for diabetics.
I bring this up because sleep apnea increases a person's risk for developing type 2 diabetes. Also, sleep-disordered breathing is also related to proper nutrition throughout life. And perhaps most importantly, the first line of defense in catching sleep-disordered breathing in patients early, are dentists. This is another area where dentists must get involved if we want to tackle the issue of pervasive type 2 diabetes with any success.
Gene therapy can be used to manufacture insulin directly: an oral medication, consisting of viral vectors containing the insulin sequence, is digested and delivers its genes to the upper intestines. Those intestinal cells will then behave like any viral infected cell, and will reproduce the insulin protein. The virus can be controlled to infect only the cells which respond to the presence of glucose, such that insulin is produced only in the presence of high glucose levels. Due to the limited numbers of vectors delivered, very few intestinal cells would actually be impacted and would die off naturally in a few days. Therefore, by varying the amount of oral medication used, the amount of insulin created by gene therapy can be increased or decreased as needed. As the insulin-producing intestinal cells die off, they are boosted by additional oral medications.[76]
Alpha lipoic acid is an antioxidant that helps turn glucose into fuel for the body. It effectively improves insulin sensitivity and reduces symptoms of diabetic neuropathy, such as weakness, pain and numbness that's caused by nerve damage. Although we make alpha lipoic acid and it can be found in some food sources, like broccoli, spinach and tomatoes, taking an ALA supplement will increase the amount that circulates in your body, which can be extremely beneficial when trying to reverse diabetes naturally. (17)
Every single part of the body just starts to rot. This is precisely why type 2 diabetes, unlike virtually any other disease, affects every part of our body. Every organ suffers the long term effects of the excessive sugar load. Your eyes rot — and you go blind. Your kidneys rot — and you need dialysis. You heart rots — and you get heart attacks and heart failure. Your brain rots — and you get Alzheimers disease. Your liver rots — and you get fatty liver disease. Your legs rot — and you get diabetic foot ulcers. Your nerves rot — and you get diabetic neuropathy. No part of your body is spared.
Yes. The combination of insulin and an oral medication, when taken as directed by your doctor, is very safe and effective in controlling blood sugar. A typical combination therapy consists of taking an oral medication during the day and insulin at night. Once you begin taking insulin, you will need to monitor your blood sugar more often to reduce the risk of low blood sugar reactions.Combination therapies are often helpful for people who have Type 2 diabetes (adult onset diabetes). If you have been taking an oral medication, your doctor may change your treatment plan to include insulin injections. This change is often made to help people with Type 2 diabetes gain better control of their blood sugar.
One benefit of these foods is that they generally promote weight loss, which is a major factor in reversing diabetes. A study following 306 diabetic individuals found that losing weight under a structured program (with the supervision of a primary care physician) resulted in almost half of the participants going into total diabetes remission. This means they were able to stay off their medications permanently (assuming they stayed on a healthy diet). Quality of life also improved by over seven points on average for the patients on the dietary regimen, while it decreased by about three points for the control group. (13)
India is said to be the diabetes capital of the world. With nearly 50 million people in India suffering from diabetes, the country has a big challenge to face. First, let's know what is diabetes. The elevated sugar in the blood is called diabetes. There are two primary reasons behind diabetes - one is when our body stops producing insulin and second is when the body does not respond to insulin that is produced by the body. Insulin is broken down by the body and used as energy, which is transported to the cells. There are two types of diabetes - Type I diabetes and Type II diabetes. Let's know about them in a little detail:
Type 2 diabetes is a condition that is characterised by chronically elevated blood sugar levels. However, the main cause as well as the driver for this condition is something called Insulin Resistance. When you eat certain foods, particularly refined carbohydrates, that food is converted to sugar inside your body. Your body's way of dealing with this sugar is to produce a hormone called insulin. Insulin moves the sugar inside your cells so that it can be used for energy. Sounds great, right?
One of the most advanced alternatives comes from the Diabetes Research Institute (DRI) in the US, which is developing a bioengineered mini-organ where insulin-producing cells are encapsulated within a protective barrier. Two years ago, the DRI announced that the first patient treated in an ongoing Phase I/II trial no longer requires insulin therapy.
In order to reverse diabetes naturally, remove foods like refined sugar, grains, conventional cow's milk, alcohol, GMO foods and hydrogenated oils from your diet; incorporate healthy foods like foods high in fiber, chromium, magnesium, healthy fats and clean protein, along with foods with low glycemic loads; take supplements for diabetes; follow my diabetic eating plan; and exercise to balance blood sugar.
Self-testing is clearly important in type I diabetes where the use of insulin therapy risks episodes of hypoglycaemia and home-testing allows for adjustment of dosage on each administration.[22] However its benefit in type 2 diabetes is more controversial as there is much more variation in severity of type 2 cases.[23] It has been suggested that some type 2 patients might do as well with home urine-testing alone.[24] The best use of home blood-sugar monitoring is being researched.[25]
Any food that you ingest is processed and metabolized by the body. Food is broken down into the various building blocks the body needs, and what cannot be metabolized or used is processed and removed by the liver. Protein and fats are used for muscle and tissue regeneration and other processes in the body. Carbohydrates are typically a fast fuel for the body, but when more are eaten that the body immediately needs, they must be stored. A simple explanation from a previous post:
One of the most advanced alternatives comes from the Diabetes Research Institute (DRI) in the US, which is developing a bioengineered mini-organ where insulin-producing cells are encapsulated within a protective barrier. Two years ago, the DRI announced that the first patient treated in an ongoing Phase I/II trial no longer requires insulin therapy.
Bitter in taste, neem is beneficial in treating diabetes. Studies have proved that incorporating Indian lilac can maintain blood sugar levels stimulating insulin activity without hindrance. Although natural sources do not contain adverse effects, it is still suggested to consult with your endocrinologist in case constant high glucose content in the bloodstream.
"In the realm of fatty liver disease, which is highly associated with either prediabetes or fully diagnosed type 2 diabetes, we do know that decreased fat and decreased weight are associated with far better glucose control," says Galati, who is the author of Eating Yourself Sick: How to Stop Obesity, Fatty Liver, and Diabetes From Killing You and Your Family. "This research reinforces the idea that patients with type 2 diabetes who are obese — which is the vast majority — can improve their blood sugar control as well as their long-term outlook with weight loss."
Ordinary calorie restriction through any diet can lead to weight loss and make it easier to manage blood sugar. Intermittent fasting is thought to go a step further by lowering serum insulin, which triggers the body to burn stored sugar, called glycogen, along with fat, in the absence of glucose from food, Dr. Fung says. These processes (called glycogenolysis and lipolysis, respectively) can temporarily lower blood sugar and cause weight loss.
I was diagnosed with Type 2 diabetes and started with a nutritionist two years ago. I was losing weight (20 lbs) and doing well on her prescribes diet. She reviewed my food log and comment that I was cutting down too low on my carbs. She said that it would damage my kidneys. I was concerned and slightly increased my carbs — which led to cravings and weight gain. Why was that the advice given? It failed.
This type of discussion occurs all the time. A patient has been assessed by their physician, and informed that they have a medical problem of some sort. The patient, reluctant to accept the physician's evaluation, heads to the pharmacy for a second opinion. In some cases, the patient may question the physician's advice: "All my physician wants to do is prescribe drugs." Yet there's a disconnect when it comes to strategies for management. More often than not, non-drug approaches are rejected out-of-hand (probably because the sample I speak with have already made the decision to buy something). And in those that are leery of medical management, there's often a willingness to consider anything that's available without a prescription – particularly if it's perceived as "natural." Natural products are gentle, safe, and effective, while medicine is thought of as unnatural, harsh, and potentially dangerous. This is the appeal to nature fallacy, nothing more. Purveyors of supplements leverage the appeal to nature fallacy into the marketing strategy of choice for almost all supplements and "alternative" medicines. And it leads to bad health care decisions.
They would often say to me, "Doctor. You've always said that weight loss is the key to reversing diabetes. Yet you prescribed me a drug that made me gain 25 pounds. How is that good?" I never had a good answer, because none existed. It was not good. The key was weight loss, whereupon the diabetes often goes away or at least gets significantly better. So, logically, insulin does not help reverse the disease, but actually worsens it.
Studies conducted in the United States[43] and Europe[44] showed that drivers with type 1 diabetes had twice as many collisions as their non-diabetic spouses, demonstrating the increased risk of driving collisions in the type 1 diabetes population. Diabetes can compromise driving safety in several ways. First, long-term complications of diabetes can interfere with the safe operation of a vehicle. For example, diabetic retinopathy (loss of peripheral vision or visual acuity), or peripheral neuropathy (loss of feeling in the feet) can impair a driver's ability to read street signs, control the speed of the vehicle, apply appropriate pressure to the brakes, etc.
8. Get your protein from vegetable sources, fish, and dairy: Plant-based proteins have a balanced nutritional profile (providing fiber, fat, and protein) and are low in saturated fats. Some saturated fats, like those that are heavily processed or from unhealthy animals, can be dangerous, as they raise cholesterol levels and contribute to heart disease. Dairy from pastured animals (such as yogurt) that is low in sugar provides protein, carbohydrates, and beneficial probiotics, and non-mercury contaminated, wild caught fish is a great source of protein that is low in saturated fat and high in amino acids and fatty acids like Omega-3.
It's the patients with type 2 diabetes that lean towards supplements. While lifestyle modifications (exercise, weight loss, and smoking cessation) are the foundation for managing diabetes, drug treatment is usually also required. There are an array of prescription drugs like metformin and glyburide with a long history of use and demonstrated efficacy. Some drugs even decrease mortality – the primary outcome we're after. But proper treatment has also been shown to the reduce the risk of an array of other consequences: Diabetes is the biggest cause of blindness, kidney failure and non-traumatic amputation. Diabetes is associated with an elevated risk of cardiovascular disease, too. Yet despite the irreversible consequences of diabetes, and the availability of effective medications, type 2 diabetes remains poorly-controlled in many, often because of poor self-management.
Type 2 diabetes is the most common form of diabetes, and unlike type 1 diabetes, it usually occurs in people over the age of 40, especially those who are overweight. Type 2 diabetes is caused by insulin resistance, which means that the hormone insulin is being released, but a person doesn't respond to it appropriately. Type 2 diabetes is a metabolic disorder that's caused by high blood sugar. The body can keep up for a period of time by producing more insulin, but over time the insulin receptor sites burn out. Eventually, diabetes can affect nearly every system in the body, impacting your energy, digestion, weight, sleep, vision and more. (5)
Carbohydrate Spike Test-On one day of your blood sugar readings (after at least 2-3 days of testing) eat a food high in simple carbs at your test meal (a potato, rice, etc) along with any vegetables, but in the absence of any fats or proteins. This will test your basic glucose reaction to high levels of glucose not mitigated by fat. Record these numbers as usual. Important note: if you usually eat a low-carbohydrate diet, this number might seem higher than it should be. This is because of decreased tolerance to carbohydrates and is not a cause for concern.
This modality can be contrasted with the emphasis of conventional medicine, which is to cure or mitigate disease, as reported by the American Holistic Health Association. For example, a conventional practitioner will follow an established algorithm for diabetes management that includes a medically established protocol centered on monitoring blood sugar and prescribing medications to balance it. An alternative medicine provider takes a personalized, whole-person approach that may include a prescription for changes in diet and exercise habits, stress reduction, and other lifestyle considerations. (The table below offers a comparison of alternative medicine with conventional medicine.)
If your cells aren't responding to insulin, your pancreas produces more to turn up the volume on the signal that glucose is available and the cells should absorb it. When your pancreas can keep up, blood glucose stays within healthy ranges, and all is well. When your pancreas starts to poop out, you end up with insulin deficiency, which leads to blood sugar fluctuations and weight gain.
Although a close relationship exists among raised liver fat levels, insulin resistance, and raised liver enzyme levels (52), high levels of liver fat are not inevitably associated with hepatic insulin resistance. This is analogous to the discordance observed in the muscle of trained athletes in whom raised intramyocellular triacylglycerol is associated with high insulin sensitivity (53). This relationship is also seen in muscle of mice overexpressing the enzyme DGAT-1, which rapidly esterifies diacylglycerol to metabolically inert triacylglycerol (54). In both circumstances, raised intracellular triacylglycerol stores coexist with normal insulin sensitivity. When a variant of PNPLA3 was described as determining increased hepatic fat levels, it appeared that a major factor underlying nonalcoholic fatty liver disease and insulin resistance was identified (55). However, this relatively rare genetic variant is not associated with hepatic insulin resistance (56). Because the responsible G allele of PNPLA3 is believed to code for a lipase that is ineffective in triacylglycerol hydrolysis, it appears that diacylglycerol and fatty acids are sequestered as inert triacylglycerol, preventing any inhibitory effect on insulin signaling.
Alpha lipoic acid is an antioxidant that helps turn glucose into fuel for the body. It effectively improves insulin sensitivity and reduces symptoms of diabetic neuropathy, such as weakness, pain and numbness that's caused by nerve damage. Although we make alpha lipoic acid and it can be found in some food sources, like broccoli, spinach and tomatoes, taking an ALA supplement will increase the amount that circulates in your body, which can be extremely beneficial when trying to reverse diabetes naturally. (17)
The medical professionals at the Diabetes Treatment Center at Desert Springs Hospital Medical Center provide inpatient and outpatient evaluation, treatment and ongoing education for adults with Type 1 or Type 2 diabetes, as well as pre-diabetes conditions. The interdisciplinary team includes certified diabetes educators and nurses who work closely with patients' primary care physicians to work toward a common goal — to help patients lead longer, healthier lives.
Some people with type 2 diabetes can manage their disease by making healthy food choices and being more physically active. Many people with type 2 diabetes need diabetes medicines as well. These medicines may include diabetes pills or medicines you inject under your skin, such as insulin. In time, you may need more than one diabetes medicine to control your blood glucose. Even if you do not take insulin, you may need it at special times, such as during pregnancy or if you are in the hospital.
Control and outcomes of both types 1 and 2 diabetes may be improved by patients using home glucose meters to regularly measure their glucose levels.[citation needed] Glucose monitoring is both expensive (largely due to the cost of the consumable test strips) and requires significant commitment on the part of the patient. The effort and expense may be worthwhile for patients when they use the values to sensibly adjust food, exercise, and oral medications or insulin. These adjustments are generally made by the patients themselves following training by a clinician.
Testosterone replacement therapy may improve glucose tolerance and insulin sensitivity in diabetic hypogonadal men. The mechanisms by which testosterone decreases insulin resistance is under study.[81] Moreover, testosterone may have a protective effect on pancreatic beta cells, which is possibly exerted by androgen-receptor-mediated mechanisms and influence of inflammatory cytokines.[82]
Well, I don't know much about VCRs, but I do know about type 2 diabetes. I can write an entire book about obesity (oh, wait, I did that already), or fasting (oh, wait, coming up) or type 2 diabetes (next up for 2018). But many of you will not want to go through the entire instruction manual. So this is the quick start guide for reversing your type 2 diabetes.
Several types of plants are referred to as ginseng, but most studies have used American ginseng. They've shown some sugar-lowering effects in fasting and after-meal blood sugar levels, as well as in A1c results (average blood sugar levels over a 3-month period). But we need larger and more long-term studies. Researchers also found that the amount of sugar-lowering compound in ginseng plants varies widely.
One of the lesser known herbs that lower blood sugar, Marjoram, is high in polyphenols, which aids in stabilizing blood glucose levels. A 2012 study in the Journal of Evidence Based Alternative and Complementary Medicine found that Marjoram reduced formation of Advanced Glycation End (AGE) products. AGE is the smoking gun that researchers today say is responsible for a lot of the complications that diabetics face, like damage to arteries and eyes. Try sprinkling marjoram on your dinner every night to help add variety in flavor. It can often be used as a substitute for oregano in cooking and brings in a distinct flavor to dishes.
Diabetes is a chronic condition that affects an estimated 23.1 million people in the U.S., and as many as 1 in 4 people don't know they have it.[1] Numbers have steadily climbed over the past few decades with no signs of leveling off. Diabetes symptoms include things like increased hunger, increased thirst, frequent urination, slow wound healing, and blurred vision, to name a few.
However, the observation that normalization of glucose in type 2 diabetes occurred within days after bariatric surgery, before substantial weight loss (15), led to the widespread belief that surgery itself brought about specific changes mediated through incretin hormone secretion (16,17). This reasoning overlooked the major change that follows bariatric surgery: an acute, profound decrease in calorie intake. Typically, those undergoing bariatric surgery have a mean body weight of ∼150 kg (15) and would therefore require a daily calorie intake of ∼13.4 MJ/day (3,200 kcal/day) for weight maintenance (18). This intake decreases precipitously at the time of surgery. The sudden reversal of traffic into fat stores brings about a profound change in intracellular concentration of fat metabolites. It is known that under hypocaloric conditions, fat is mobilized first from the liver and other ectopic sites rather than from visceral or subcutaneous fat stores (19). This process has been studied in detail during more moderate calorie restriction in type 2 diabetes over 8 weeks (20). Fasting plasma glucose was shown to be improved because of an 81% decrease in liver fat content and normalization of hepatic insulin sensitivity with no change in the insulin resistance of muscle.
Data from the Swedish randomized study of gastric banding showed that a loss of 20% body weight was associated with long-term remission in 73% of a bariatric surgery group, with weight change itself being the principal determinant of glucose control (13). Dietary weight loss of 15 kg allowed for reversal of diabetes in a small group of individuals recently receiving a diagnosis (21). In individuals strongly motivated to regain normal health, substantial weight loss is entirely possible by decreasing food consumption (88). This information should be made available to all people with type 2 diabetes, even though with present methods of changing eating habits, it is unlikely that weight loss can be achieved in those not strongly motivated to escape from diabetes. Some genetic predictors, especially the Ala12 allele at PPARG, of successful long-term weight loss have been identified (89), and use of such markers could guide future therapy. It must be noted that involuntary food shortage, such as a result of war, results in a sharp fall in type 2 diabetes prevalence (90,91).
A wide scatter of absolute levels of pancreas triacylglycerol has been reported, with a tendency for higher levels in people with diabetes (57). This large population study showed overlap between diabetic and weight-matched control groups. These findings were also observed in a more recent smaller study that used a more precise method (21). Why would one person have normal β-cell function with a pancreas fat level of, for example, 8%, whereas another has type 2 diabetes with a pancreas fat level of 5%? There must be varying degrees of liposusceptibility of the metabolic organs, and this has been demonstrated in relation to ethnic differences (72). If the fat is simply not available to the body, then the susceptibility of the pancreas will not be tested, whereas if the individual acquires excess fat stores, then β-cell failure may or may not develop depending on degree of liposusceptibility. In any group of people with type 2 diabetes, simple inspection reveals that diabetes develops in some with a body mass index (BMI) in the normal or overweight range, whereas others have a very high BMI. The pathophysiologic changes in insulin secretion and insulin sensitivity are not different in obese and normal weight people (73), and the upswing in population rates of type 2 diabetes relates to a right shift in the whole BMI distribution. Hence, the person with a BMI of 24 and type 2 diabetes would in a previous era have had a BMI of 21 and no diabetes. It is clear that individual susceptibility factors determine the onset of the condition, and both genetic and epigenetic factors may contribute. Given that diabetes cannot occur without loss of acute insulin response to food, it can be postulated that this failure of acute insulin secretion could relate to both accumulation of fat and susceptibility to the adverse effect of excess fat in the pancreas.
Mechanism of interaction between excess amounts of fatty acids, diacylglycerol, and ceramide and insulin action within the hepatocyte. Diacylglycerol activates PKCε and inhibits activation of IRS-1 by the insulin receptor. Ceramides cause sequestration of Akt2 by PKCζ and inhibit insulin control of gluconeogenesis. These mechanisms have recently been reviewed (99). FFA, free-fatty acid; TG, triacylglycerol.
Bitter in taste, neem is beneficial in treating diabetes. Studies have proved that incorporating Indian lilac can maintain blood sugar levels stimulating insulin activity without hindrance. Although natural sources do not contain adverse effects, it is still suggested to consult with your endocrinologist in case constant high glucose content in the bloodstream.
Clearly separate from the characteristic lack of acute insulin secretion in response to increase in glucose supply is the matter of total mass of β-cells. The former determines the immediate metabolic response to eating, whereas the latter places a long-term limitation on total possible insulin response. Histological studies of the pancreas in type 2 diabetes consistently show an ∼50% reduction in number of β-cells compared with normal subjects (66). β-Cell loss appears to increase as duration of diabetes increases (67). The process is likely to be regulated by apoptosis, a mechanism known to be increased by chronic exposure to increased fatty acid metabolites (68). Ceramides, which are synthesized directly from fatty acids, are likely mediators of the lipid effects on apoptosis (10,69). In light of new knowledge about β-cell apoptosis and rates of turnover during adult life, it is conceivable that removal of adverse factors could result in restoration of normal β-cell number, even late in the disease (66,70). Plasticity of lineage and transdifferentiation of human adult β-cells could also be relevant, and the evidence for this has recently been reviewed (71). β-Cell number following reversal of type 2 diabetes remains to be examined, but overall, it is clear that at least a critical mass of β-cells is not permanently damaged but merely metabolically inhibited.
A useful test that has usually been done in a laboratory is the measurement of blood HbA1c levels. This is the ratio of glycated hemoglobin in relation to the total hemoglobin. Persistent raised plasma glucose levels cause the proportion of these molecules to go up. This is a test that measures the average amount of diabetic control over a period originally thought to be about 3 months (the average red blood cell lifetime), but more recently[when?] thought to be more strongly weighted to the most recent 2 to 4 weeks. In the non-diabetic, the HbA1c level ranges from 4.0–6.0%; patients with diabetes mellitus who manage to keep their HbA1c level below 6.5% are considered to have good glycemic control. The HbA1c test is not appropriate if there has been changes to diet or treatment within shorter time periods than 6 weeks or there is disturbance of red cell aging (e.g. recent bleeding or hemolytic anemia) or a hemoglobinopathy (e.g. sickle cell disease). In such cases the alternative Fructosamine test is used to indicate average control in the preceding 2 to 3 weeks.
So, can you "reverse" diabetes? No – but you can manage it very well with the help of a Certified Diabetes Educator (CDE) and a knowledgeable primary care physician or endocrinologist. There are even prescription apps available to bridge the care that your clinicians can give you between visits and apps that offer virtual CDE's for greater assistance.
Alcohol: Alcohol can dangerously increase blood sugar and lead to liver toxicity. Research published in Annals of Internal Medicine found that there was a 43 percent increased incidence of diabetes associated with heavy consumption of alcohol, which is defined as three or more drinks per day. (8) Beer and sweet liquors are especially high in carbohydrates and should be avoided.
Conventional: A dietary pattern that includes carbohydrates from fruits, vegetables, whole grains, legumes, and low-fat milk is encouraged for good health. Carbohydrate intake should be monitored using carbohydrate counting or experienced-based estimation. The Recommended Dietary Allowance for digestible carbohydrates is 130 g/day, which will provide a sufficient amount of glucose needed to fuel the central nervous system without reliance on glucose production from protein or fat. Using foods with a low glycemic index that are rich in fiber and other important nutrients is encouraged.
Dr. King said that even short-term remission would reduce or put off some of the serious complications associated with diabetes, like nerve damage, kidney damage, loss of vision, heart attacks and strokes. Yet structured weight loss programs are expensive and often not covered by insurance, and physicians — who are often not well-versed in nutrition — may not take the time to counsel patients about diet, Dr. King said.
Conventional: A dietary pattern that includes carbohydrates from fruits, vegetables, whole grains, legumes, and low-fat milk is encouraged for good health. Carbohydrate intake should be monitored using carbohydrate counting or experienced-based estimation. The Recommended Dietary Allowance for digestible carbohydrates is 130 g/day, which will provide a sufficient amount of glucose needed to fuel the central nervous system without reliance on glucose production from protein or fat. Using foods with a low glycemic index that are rich in fiber and other important nutrients is encouraged.
Data from the Swedish randomized study of gastric banding showed that a loss of 20% body weight was associated with long-term remission in 73% of a bariatric surgery group, with weight change itself being the principal determinant of glucose control (13). Dietary weight loss of 15 kg allowed for reversal of diabetes in a small group of individuals recently receiving a diagnosis (21). In individuals strongly motivated to regain normal health, substantial weight loss is entirely possible by decreasing food consumption (88). This information should be made available to all people with type 2 diabetes, even though with present methods of changing eating habits, it is unlikely that weight loss can be achieved in those not strongly motivated to escape from diabetes. Some genetic predictors, especially the Ala12 allele at PPARG, of successful long-term weight loss have been identified (89), and use of such markers could guide future therapy. It must be noted that involuntary food shortage, such as a result of war, results in a sharp fall in type 2 diabetes prevalence (90,91).
The food pyramid recommended 6-11 servings of carbs per day, and very little fat — a low-fat, high-carb diet. As we outlined in our last video, type 2 diabetes is a disease of carbohydrate intolerance. Someone with type 2 diabetes or prediabetes has a low carbohydrate tolerance, so eating carbs will lead to exaggerated blood sugar spikes. While those with a high carb tolerance may be able to eat a carb-heavy diet and remain healthy, someone with a low carb tolerance will experience chronic high blood sugar and likely even weight gain if they eat a high-carb diet.
In the twentieth century, insulin was available only in an injectable form that required carrying syringes, needles, vials of insulin, and alcohol swabs. Clearly, patients found it difficult to take multiple shots each day; as a result, good blood sugar control was often difficult. Many pharmaceutical companies now offer discreet and convenient methods for delivering insulin.


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To get the most from your boiler it's best to adhere to scheduled
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Moflo is the best instant drain unblocker on the market sulfuric acid-based drain opener designed to quickly dissolve all organic obstructions such as cloth, paper, rags, grease, hair, paper, sanitary napkins, styrofoam, sludge, soap, and coffee grounds use in floor drains, sink drains, tub drains, shower drains, and other drains prone to clogging moflo has an instrument for approval for use in food processing establishments for use as a drain cleaner. Infinity energy organisation ltd. Before you rush out to buy a new boiler there are plenty of other steps you can take to cut your heating cost without splashing out. These top-rated baby monitors won't let you down when you need them most. When you see signs that your boiler has a problem, it's time to call in the pros enter your zip code and let homeadvisor connect you with prescreened boiler repair companies in your area ready to handle your problem. Very quick response, on time & job completed on first visit would use again. With a nationwide network of depots, we are never far away we will move heaven and earth to get to even the most isolated of locations, such is our desire to make wastewater our worry, not yours for sewer and drain unblocking, lanes offers a complete 24-hour emergency service. Enzymatic drain cleaning stick customers were more enthusiastic: "the water is now draining a lot faster than it ever did before and i noticed the results within 24 hours", and "they keep the drain clean and smelling nice" but however well they work, i question the judgment of the user who said it would make a good christmas stocking filler. If you don't have a gas supply to your home, it might be worth considering a form of low carbon heating such as a. The drainage point in any system will usually be the lowest point of the lowest radiator in the property having located the drainage valve, connect a hose securely, ideally using a jubilee clip tighten the clip over the hose to prevent any leaks it's a good idea to place a bowl under the drainage point to catch any leaked water. Folge mehr accounts, um sofort updates zu themen zu bekommen, die dir wichtig sind.
Your boiler engineer will be an invaluable source of information during the buying process he or she will be able to guide you to make the best choice on the type and size of boiler you need. Combination boilers are quite different from the conventional ones because there is no need for a hot water storage cylinder the hot water is heated instantly when the tap is turned on it takes a little longer to get a full bath of hot water and also opening 2 taps at once might diminish the hot water capacity to one of the outlets therefore, next time you're out shopping for a new boiler consult a heating engineer for the best advice on central heating in manchester. Az preferred plumbing has a 100% satisfaction guarantee, providing prices before services and no trip charges. Ips offers up-front pricing, and we pride ourselves on building lasting relationships with clients with 24-hour emergency plumbing services and a guarantee on all of our work, you can be assured that your plumbing needs will be taken care of with your best interests in mind no project is too small or complex for our team of expert fort collins journeyman plumbers if you are looking for reliable, quality plumbing services, count on ips. Our teams operate all day and all night we're here whenever you need us.
Andritz fluidized bed technologies demonstrate unmatched fuel flexibility – even fuels which are difficult to burn when using other combustion technologies the fluidized bed ensures almost complete combustion with the lowest emissions and the highest efficiency and availability. A plumbing emergency does not mean a quick fix that will need more repair work later we know that the last thing you want to do after we leave is make another appointment to finish your emergency plumbing job that is why we make sure that every certified plumber we send out is equipped with the parts he will need to get the job done if we do need to order a part, then we get it fast and put a temporary solution in place that will prevent further damage to your home. When you see signs that your boiler has a problem, it's time to call in the pros enter your zip code and let homeadvisor connect you with prescreened boiler repair companies in your area ready to handle your problem. Why, a plumber would be ashamed to take as long as that over a job! Kj to boil a liter of water is rather more energy than you might think an. Asap replaced our hot water heater the guys i give a's all across the board neat, courteous and professional the first positive experience i've ever had with a plumber. Grade d or above gcses, including maths and english would be an advantage. As the uk's largest plumbing, heating and cooling trade specialist, we're focused on the needs of our customers soon, our entire range will be accessible under one roof that means our customers can easily reach all our products and specialisms, helping them to achieve more. This company is nothing short of phenomenal they really helped me out of a tough spot their professionalism and dedication is a breath of fresh air the owners and their employees are the best i have worked with.". Find simple solutions to your gardening questions. Amos drain cleaner works exactly as they say it works i used it on my sluggish shower, kitchen and bathroom sinks i waited about an hour and then ran hot water down the drain the cleaner even worked its way through standing water and unclogged the mess i am very impressed with this product.
Omar from appliance repair doctor was great arrived on time, quickly diagnosed the problem with our oven &. If you're considering getting a baxi boiler installed, we could provide you with the help and advice you need to make the right choices baxi manufactures a wide range of boilers, each with unique and beneficial features, so don't hesitate to contact us if you're feeling unsure. Find out how reliable baxi boilers are, what baxi owners think of their boilers, and what trusted boiler engineers make of the baxi brand. Not sure which type of indirect water heating option is right for you? learn more by. Choose the time that's most convenient for you and we'll be there. Our 24 hour plumbing services include. New regulations were introduced in 2017 to govern uk boiler installations.
If you have a problem that requires immediate attention, contact plumbingforce today to arrange one of our emergency team members to attend your property without delay! Our team of gas safe™ registered engineers are qualified to provide service to all types of boilers including the following. Good news is that there is a wide range of outputs available depending on the size of your property and your predicted hot water demand if you choose the right power output, you shouldn't have any problems. Roofers repair or install roofs using materials such as roofing iron, tiles and shingles. Sarah heads up our dedicated gasway customer service team and they are standing by to help you. You won't be able to claim for the first 14 to 30 days. The coke/pepsi idea is fantastic! i don't like either anyway, and it makes a lot of sense to use great hub and very useful as many have this problem at one time or another voted up! We had a badly blocked bath drain and the u turn was very difficult to access one application of kilblock bathroom has solved the problem quickly.

subset: commoncrawl


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Beef & Broccoli Stir-Fry
Serves 4 To 6
1 Tbsp Corn Starch
In bowl stir together first 4 ingredients until smooth. Add beef; toss to coat. Cover; refrigerate 4 hours or overnight. Drain; reserve marinade. In large skillet or wok heat two (2) tbsp of the corn oil over medium high heat. Add onion, garlic and red pepper. Stir fry two (2) minutes. Remove with slotted spoon to large bowl. Add mushrooms to skillet. Stir fry one (1) minute. Remove. Add two (2) tbsp corn oil. Add carrots, broccoli and water chestnuts. Stir fry two (2) minutes or until tender crisp. Remove. Add one (1) tbsp corn oil. Add beef. Stir fry three (3) minutes or until lightly browned. Add broth and reserved marinade. Stirring constantly, bring to a boil over medium heat and boil one (1) minute. Add vegetables; cook 2 to 3 minutes or until heated through. If desired, serve over rice.


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When I got Luke the Dog™, I lived in a 4-bedroom house in Provo with a couple of friends. The house had a two-car garage, "Luke's Yard"
Tag: Luke the Dog™
He's Alive – Status Update
You know, it's amazing how busy I deliberately keep myself sometimes. I mean, really. If you think about it, I'm probably the busiest person you "He's Alive – Status Update"
2013 Saga: A Year In Review (So Far…)
Do you ever get that feeling, as though you have allowed your life to run away from you? Where once, you were organized and in "2013 Saga: A Year In Review (So Far…)"


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Book of Gods Slot Review
Friday, 09 November, 2018
Malcolm and Lucky are off on yet another adventure - this time it's off to ancient Egypt, the setting of Book of Gods slot, the latest addition to the Kerching roster.
The game features a free spins system and a cloned symbol mechanic which, when combined, can have a major influence on your total winnings. Before you try it out for yourself, read our Book of Gods slot review to find out what Malcolm and Lucky think.
M: Lucky, pack your bags mate. We're going on an adventure!
L: Oh no, where is it this time?
M: Now now Lucky, have I ever led you astray before?
L: Errrrr, best to just move on I think mate.
M: Alright Lucky lad calm down, I thought you'd be more excited about going to Egypt.
L: Egypt?
M: Yes, my canine companion, Egypt. That's where Book of the Gods online slot is based.
L: Sound! I do love a good slot to be fair.
M: And this one's better than good. It's got a mega mix of free spins and cloned symbols, which could make a massive difference to your gameplay.
L: Do tell me more.
M: Let's start with the basics, shall we? There are 6 low-value symbols in the game, 9, 10, J, Q, K and A plus four high-value ones represented by different gods coloured green, red, blue and purple. If you land the highest valued symbol in a 5 of a kind win, you'll be awarded a 20x multiplier.
L: Tasty Malc. What about the bonus features?
M: As I mentioned, Book of Gods slots includes cloned symbols and a free spins feature. The former is a persistent feature, meaning it's constantly in play. At the start of a spin, one of the lower value symbols will be picked to be the clone. Land a winning combination and any reels with it in will become stacked with that symbol. A new pay-out will then be awarded, meaning an even bigger win!
L: Nice. So far I'm liking the sound of this one. How about the free spins then?
M: Sit-down pal, this needs some explanation but it's well worth it. To trigger this bonus, you'll have to land 3, 4 or 5 of the Book of Gods scatters, for which you'll be awarded 15, 20 or 25 free spins respectively.
L: Is that all?
M: Let me finish you dingbat. Before you start spinning, one of the high-value gods will be picked as the clone, which could leave you with a big win on its own. Even better though, this feature can be repeated until all four gods are cloned and the free spins can be retriggered a potentially unlimited number of times.
L: Music to my ears that, but just to be clear I have to land scatters to trigger it right?
M: Normally yes. However, if you're a bit impatient you can buy some free spins with the Feature Drop. What's more, landing the special token symbol will half the cost of using it. Hang on a minute, what are you doing Lucky?
L: All these free spins and symbols have got me walking like an Egyptian!
It certainly seems like Malcolm and Lucky had a colossal time with that Book of Gods review. With its entertaining mix of free spins and the cloned symbols mechanic, Book of Gods online slot machine is one game that's sure to have you feeling like a pharaoh.
If you fancy trying the game out you can play Book of Gods slots online at Kerching, plus many more great games. If you're a fan of the classics why not try the popular Cleopatra or for a different kind of classic, the colourful Rainbow Riches. Be sure to check out the special Kerching promotions on offer too. Must be 18+ to play. T&Cs apply. Remember, when the fun stops, stop.
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4240 Duncan Ave
St. Louis, MO 63110
Join the Association for Corporate Growth (ACG) as we explore Corporate Venturing through a panel discussion. The panel will be moderated by Brent Baxter, Managing Director of Clayton Capital Partners. Panelists will include Bill Broun, VP at Nestle Purina, and Darryl Sagel, VP & Treasurer at Ameren. Corporate venturing is the practice of established companies directly investing corporate funds into innovative, early stage companies. Beyond capital, the investing company often provides the early stage company with management and marketing expertise as well as strategic guidance. In this session you will learn what corporate venturing is, the types of opportunities these companies pursue, and hear case studies from prior investments. Please join us to learn how this capital source may apply to your venture and let ACG St. Louis connect you to this important resource in the community.


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OFED - OpenFabrics Enterprise Distribution.
Share your tips/tricks/lessons-learned for using OFED on Ubuntu.
OFED 3.5 support in Ubuntu
Please see OFED 3.5 and Ubuntu.pdf for details.
Among the last 4 Ubuntu releases, Ubuntu 13.04 has the most up-to-date packages as in OFED 3.5. However, there are still some packages that aren't available in the universe or not up to date as in OFED 3.5.
What's missing
- Fabric management: ibacm, ib-bonding.
- Hardware specific user space library: infinipath-psm (QLogic Truescale), libcxgb4 (Chelsio T4), and libehca (IBM).
- Utility: qperf
What's not the latest
- dapl
- libibcm
- mstflint
- ofed-docs
- perftest
- rds-tools
- libsdp
OFED (last edited 2013-05-24 17:41:56 by samantha-jian)


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Having confidence in your smile can allow you to take on any situation. Your smile is often the first thing someone notices about you, and when you are not comfortable showing off your smile, it can be a serious hit to your confidence. Here at 123 Dental in Santa Ana, CA, Dr. Tommy C. Le and his associate dentists have expertise in cosmetic dentistry, so no matter what dental issue you are unhappy with, Dr. Le and his associate dentists can give you a smile to be proud of!
From minor chips, to major smile overhauls, to simple whitening, Dr. Le and his associate dentists are able to perform many procedures to improve a smile. For teeth that have chips, cracks, gaps, or discoloration, Dr. Le and his associate dentists offer dental bonding (ie white fillings). Bonding is a resin smoothed over an imperfection, hardened, and polished for natural look. For professional whitening, the office provides a couple of different options. Depending on your current shade and the level of whiteness you would like to be at, 123 Dental staff can create results six to ten shades whiter!
Another option for teeth that are cracked, chipped, crooked, misshapen, or discolored, Dr. Le offers Lumineers, veneers, and Snap-On Smile. Dr. Le will talk with you and examine your teeth to find out which option is best for you. Lumineers and veneers are thin ceramic shells bonded to the front of your existing teeth. Snap-On Smile is similar but it is removable.
Being unhappy with your smile does not have to be life-long. To discuss your cosmetic desires, schedule an appointment with Dr. Tommy C. Le or his associate dentists of 123 Dental here in Santa Ana, CA. Give us a call at (714) 542-7400 or visit our website, www.123dentalsa.com.


text: You can observe your traffic, recommendation sources, alterations, and countless other statistics that tell you how well your techniques perform. But in order to find the actual value of your techniques, there's one measurement that should take priority: ROI. Calculating your ROI for all of your marketing strategies lets you see which generate thcontinue reading..


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Some posts on BeccaBlogsItOut.com may contain affiliate links. This means that if you click those links and register or make a purchase, I might receive a commission, at no extra cost to you. Please see my Policies page for further information. Thank you so much for your support!
This post is part of the Wellbeing Wonders Linky that I'm hosting with Emma from Sunshine and Rain. It's a fab way to connect with other bloggers and reach new readers. So, if you're a blogger, check out the info at the end of the post to find out how you can join in and add your own posts. And if you're not, check out the links at the end of this post for more great welbeing-related content!
I thought I'd do something a little bit different for Wellbeing Wonders this week and write about things that make me happy. I've written a few really heavy and emotional posts lately (like Please Don't Tell Me To Calm Down and To All The Friends I've Let Down – An Open Letter) so I wanted to write something a bit more positive than another "I've been useless at dieting this week" post!
Here are 10 things that make me happy:
1 Being a Mum
Let's start with the big one, shall we? After everything we went through to get them, just looking at my babies (who aren't really babies anymore) makes my heart happy. Even on the days where Mr Becca comes home to find me hiding in the kitchen and pulling my hair out because the twins have driven me crazy… I'm still happier than I can ever remember being before we had them.
2 Mr Becca
While I'm talking about family, Mr Becca is quite good at making me happy, too. Have I mentioned before how lucky I am to have such a supportive husband? If I haven't, I should have. Anyone who has mental health issues should marry an Occupational Therapist who specialises in mental health. But you can't have mine. I'm keeping him. Aside from being a very good OT, Mr Becca is a very good husband, a brilliant Dad and one of my very bestest friends. He's also very very silly. No one makes me (or the twins) laugh like he does. Watching him play with the twins, seeing what a great dad he is, definitely makes the list of things that make me happy.
3 Books
I love to read. Whenever I'm feeling a bit down, I escape into a book. You can read about some of my favourite books here and here, if you're interested! And while I do the majority of my reading on Kindle these days, there are very few things that make me happier than curling up in an armchair with a proper book.
4 Sunflowers
They just look happy, don't they? The way they look up and follow the sun? They always make me smile.
5 Comfort Food
This is why I'm overweight. A big plate of something hot and preferably covered in cheese always cheers me up. In fact, maybe number 5 should have just been melted cheese – pizza, cheese toasties, cheese on pasta, baked camembert… now I'm hungry.
6 Naps
Is there anything better than an afternoon nap? I'm not sure that there is.
7 Crafts
I love making things. Although I'm taking a bit of a break from it this year to focus on my blog, I have a tiny little craft business (you can find me on Facebook under Ostara Crafts) and I love making things that I know will go on display in someone else's home. Crafting is so relaxing, too – it's great for getting rid of stress!
8 Christmas
Ok, I know some of you aren't ready for the C word yet, but I love Christmas. I love it even more now that I have children, but I've always loved Christmas. I love the lights and the decorations and the food and how happy and smiley everyone gets. I love going to see Santa (this is one of the best parts of being a mum – we saw 3 Santa's last year and 4 the year before!) and all the little traditions we're passing on to the twins.
9 Clean Sheets
Climbing into a bed, freshly made with clean sheets, at the end of a long day is one of life's greatest pleasures, don't you think?
10 Watching My Kids Grow and Learn
As much as I sometimes wish that time would just slow down a little bit, because the twins are growing up so quickly, I love watching them grow and learn new things. The look of pride on their little faces when they figure something out for the first time is just so wonderful. And they're so clever, it makes me feel like I've achieved something every time they do. I love their little giggles and the funny things they say when they're trying to learn new words. Of all the things that make me happy, this is my favourite.
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The Tour is a very interesting time for me personally. Versus has given me the opportunity to be a part of the biggest cycling event in the world with France being one of the most exciting backdrops to work from. I love the Tour and I love being as close to the action as I can get. The excitement leading up to this year's Tour was the biggest and best in a long time. We had all the sport's best riders in top form fighting for the most coveted jersey in the world: The Maillot Jaune. For me, just getting to experience that entire battle firsthand is something that I never take for granted. The work itself however is long and often difficult. I often find doing the interviews and stand-up spots challenging. It may look easy when watching the TV, but having a camera in your face as you describe something complicated, knowing a million viewers are watching, takes practice and experience. I continually try to refine my techniques, but in the end, like Malcolm Gladwell said, the more you do something, the better you get at it.
The other challenge for me is being away from my family for close to a month. With four growing kids and a wife that has so much to do, I feel that this is a huge sacrifice for them and that tears at me. The things Lori has to do by herself for a month is something that I don't think I can truly understand. A month is a long time away and when I re-enter their lives around August, it takes a while before I am accepted back into the family rhythm. The best way I have found to maintain some of the balance with my crew at home is to Skype™ daily. There is something about seeing your family each day and not just talking to them that makes it a bit more real. In the end, we made the decision as a family and we are all in support of the sacrifices we all make for the Tour.
The race itself is inspiring and for those of you that watch, I implore you to get over at some point and experience it firsthand. The riders are incredible, the scenery is picturesque, the mountains are humiliating and the fans have a passion and love for this sport like no other. When watching the spectacle of the Tour, allow yourself to be inspired by the athletes and please, please, please see the mental and physical strength these warriors possess, not the bad choices some of their peers made in the past.
This is a unique month for me, but a month when I miss my family, friends, VQ and Trek of HP crews. Think of all the great stories I will share with you all for the months to come! Enjoy the racing and training and remember to continue to reflect on your own personal training/life balance.
Vive le Tour!


text: M mbaybut Contact options for registered users posted on June 28, 2004, 1:32 am I was told the other day that only an oil finish would be correct for teak on boats. Is this true?? Mikey Add pictures here ✖ <% if( /^image/.test(type) ){ %> <% } %> <%-name%> Add image file Upload Bold Italic Underline Upload Image Add reply Notify me about replies to my post Reply Rate this thread


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Province to "rebalance" OHIP fees, move to freeze doctors' compensation
Ontario's Ministry of Health and Long Term Care announced today it is "moving toward a real wage freeze" for the province's doctors in order to save money.
Thirty-seven different types of fees charged by doctors will be affected. The province estimates it will save more than $300 million in the next year that it can then invest in community care.
OHIP fees will also get reshuffled, to reflect how some procedures take less time and resources but still cost the same as they did years ago.
Some examples of the fees that will change include:
Cataract surgery: The fee will be reduced from $441 to $397.75. Cataract surgery can be performed in as little as 15 minutes in some cases, rather than two hours.
Eye injections for retinal diseases: The fee will go down from $189 to $90 over four years. Compared to a decade ago, these procedures can take just minutes instead of two hours.
Echocardiograms: Doctors will perform fewer of these tests. The ministry says evidence shows performing echocardiograms before routine non-cardiac surgery does not improve patient outcomes.
In a statement released Monday, the Ontario Medical Association president Dr. Doug Weir called the government's move to freeze spending an "appalling step" and that cuts to programs and fees will mean longer wait times and fewer physicians available to patients.
More to come.


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Project Coordinator with In-House Creative Agency
0 people like this description
Do you love the hustle and bustle of a creative agency environment, but ready for some work-life balance? Bring your expertise in creative services project coordination to a growing in-house team with a global Fortune 500 company (top 30) in the Seattle area. This is your chance to help build a stronger account-focused organization that delivers impactful, innovative, and creative communications for the entire enterprise. Gain exposure to a broad range of company wide and international campaigns ranging from environmental initiatives, global branding, sponsorships, trade shows, internal employee campaigns, and more! (**Please note that while the title is "Project Coordinator," this is not an entry or junior level role.)
Start Date: As soon as the right candidate is found
Location: Onsite at our client's office in Tukwila
Duration: 6 months with potential to extend
Hours: 40 per week
Type: Contract; W2 through Aquent
-Manage interactions with internal clients for simple to complex projects.
-Manage projects hand-in-hand with the key account manager; may serve as his or her backup.
-Seek opportunities to provide tactical and strategic input that improves team cohesion, collaboration, and the ability to achieve goals.
-Manage the execution of simple and complex projects through delivery.
-Create estimates and detailed schedules and document and communicate any scope change; obtain client approval as needed.
-Monitor and report on the workload of individual team members and of the team as a whole.
-Ensure that creative briefs, estimates, project plans, schedules, and budgets are complete.
-Track and report on actual to-date expenditures against estimates.
-Evolve the traffic and project coordination process to meet internal client and team needs.
-Enforce adherence to workflow processes and deadlines.
-Lead lessons-learned team meetings and drive improvements to the process at the team level, across a region, and organizationally.
-Mentor associate project coordinators.
-Experience as a project coordinator in a creative environment—agency or in-house agency—creating estimates, managing project schedules, working with creative professionals on project execution and delivery.
-Experience mentoring less experienced personnel highly preferred.
-Must be
• Able to communicate clearly orally and in writing.
• Extremely detailed oriented.
• Collaborative and have excellent people skills to work with internal clients and creative professionals.
• Committed to providing exceptional customer service.
• Able to identify opportunities for process improvement.
-Must demonstrate a sense of urgency and be able to rank competing priorities and work under pressure.
-Proficiency in Microsoft Word, PowerPoint, and Excel required.
-Basic knowledge of Microsoft SharePoint and Adobe InDesign and Photoshop a plus.
-An associate or bachelor's degree.
-PMP certification highly preferred.
Interested? We'd love to hear from you! Please include the following when applying:
-Updated resume.
-Summary of qualifications related to the above.
About Aquent
Freelancing long-term with Aquent gets you access to some pretty cool things:
-You're paid weekly.
-Subsidized health (including term life and LTD), dental, and vision benefits.
-Access to 401(k) through Fidelity.
-Access to FSA Program (pre-tax payment toward public transit, etc.)
-Access to our Talent Rewards Program (we reward for referrals!)
-Access to free online courses via Aquent's Gymnasium, to help you develop your skills: http://gymnasium.aquent.com/
-Access to free online courses via Lynda.com.


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Duane Ludwig believes his fighter is at the top of the mountain as a mixed martial artist.
Dillashaw is coming off a successful defense of his Ultimate Fighting Championship (UFC) bantamweight title. Dillashaw earned a first-round TKO victory over Cody Garbrandt in a rematch. This is the first successful title defense in Dillashaw's current run as the 135-pound kingpin.
Duane Ludwig Believes T.J. Dillashaw Is The Best MMA Fighter Ever
Coach Ludwig has played a crucial role in the success of Dillashaw. Once Dillashaw left Team Alpha Male, it was full speed ahead for the 135-pound kingpin who appears to get even better with each outing. Speaking to BJPenn.com, Ludwig gave Dillashaw the ultimate compliment:
"The overall goal is to pull out TJ's potential and get him as good as we can get him as a martial artist. In my opinion, he's the best martial artist ever. So, we're continually adding and discovering layers within TJ's soul, or whatever it is. That's our goal. Everyone is watching us. Fight week, back stage warming up hitting pads, everyone is watching us. We're literally leading the evolution of martial arts."
What lies next for Dillashaw remains to be seen, but there are plenty of options available. There's potential rematches with Raphael Assuncao and Dominick Cruz. Dillashaw is 1-1 against Assuncao and 0-1 against Cruz. There's also Marlon Moraes, who is coming off a first-round knockout win over Jimmie Rivera. Newly crowned flyweight champion Henry Cejudo has also expressed interested in a bout with Dillashaw.
Where does T.J. Dillashaw rank for you in the pound-for-pound discussion?


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1. Introduction
Jakarta is as a city in the delta area traversed by 13 river flows and influenced by the tidal stream, then in developing the city of Jakarta, we should consider the challenges and constraints in delta are that can be done through water management, disaster risk analysis, and ecosystem improvement. The delta city is a city located at the mouth of a river or river estuary, it makes some of the areas are under the sea level. Furthermore, with the existence of climate change, it will be increasingly threatened.
The North Coastal area of Jakarta is designated as a Strategic Area of DKI Jakarta Province set forth in Regional Regulation No. 1 of 2012 on Spatial Planning (RTRW) Jakarta 2030. The stipulation is in line with other policies namely Government Regulation No. 26 of 2008 on National Spatial Planning. With this Government Regulation, DKI Jakarta with the surrounding area that characterizes the Metropolitan area is designated as a National Strategic Area. The status of DKI Jakarta and the surrounding area as a National Strategic Area shall be further regulated in spatial planning through Presidential Regulation No. 54/2008 concerning Spatial Planning in Jakarta, Bogor, Depok, Tangerang, Bekasi, Puncak and Cianjur (Jabodetabekpunjur).
In strategic North Coastal area of Jakarta, the development of reclamation area and coastal land area is done in an integrated manner which together is designated as a planning area. There are many interests to consider in the implementation of reclamation. It must consider the environment, the interests of the harbor, the interests of mangrove forest areas, the interests of fishermen, the impact of the rob flood, and the rise of sea and river levels as well as interests and other functions in the North Coast of Jakarta.
Due to limited land in Jakarta Capital Special Region (DKI), the reclamation in North Coastalarea of Jakarta is directed to the realization of reclaimed land ready to build and its utilization in accordance with the integrated spatial planning with the re-arrangement of North Jakarta's mainland area. Taking into account the guidelines derived from the legislation in the field of reclamation, it is expected that reclamations run in accordance with the philosophy of reclamation, that is, the first reclamation is an alternative activity to get land for various designations so that fertile agricultural land and rainwater absorption area is not sacrificed by the needs of the expansion of the city. Second, reclamation must follow applicable regulations such as coastal law, Presidential Regulation, general guidelines of reclamation, and reclamation technical guidelines. Third, reclamation can be implemented if negative impacts can be eliminated. Fourth, to avoid damage to buildings on reclamation land, reclamation must meet the technical requirements of reclamation [1].
Reality in the implementation of reclamation in the North Coastal area of Jakarta encountered many obstacles. Reclamation of the north coast of Jakarta in order to realize 17 islands with the name of Island are A, B, C,, D, E, F,G H, I, J, K, L, M, N, O, P, Q. The extent reaches 5,153 hectares and requires about 3.3 Million tons of cubic meters of sand for swelling. The sand is taken from the sea around Serang Banten, which is around Pulau Tunda and Pulau Panjang. All sand dredging location is suspected not through the study of Environmental Impact Analysis (EIA). So the dredging of the sand under the sea gives a bad impact to the coast around Serang Banten. [2].
Fishermen in the coastal areas of North Jakarta coast adjacent to the reclamation site are also disrupted by reclamation. They postulate reclamation resulting in access to disturbed fish. This has meant problems in the organization of spatial planning, two factors that determine the population density and economic growth [3].
Based on the background above, there are several problem formulations in this study, namely: Why the reclamation of North Coastal Area of Jakarta get rejection from Muara Angke traditional fishermen? How is the policy of Jakarta Capital City Special Government in reclamation of North Coastal area of Jakarta associated with sustainable development concept?
2. Research Methodology
The research method used in this study was normative juridical method because the study was based on the sustainability of the socio-legal approach. Considering that the problem of North Jakarta coastal area reclamation cannot be done through a partial approach, but must be done through an integrated, comprehensive, and holistic approach. Hence, the problem of reclamation cannot be solved by mono-discipline study, but must be through a multi-disciplinary settlement. An important characteristic of socio-legal studies is in the nature of the study, it uses multi or interdisciplinary. In other words, theoretical perspectives and methodologies are based on research conducted with various disciplines [4]. The legal materials were collected through literature studies. On the other hand, the research analysis was done descriptive qualitatively, it means the legal materials were described in the form of narrative arranged in a systematic, logical, and it was the result of the process of interpretation of researchers on the legal material produced.
3. Discussion
Rejection of traditional fishermen of Muara Angke on reclamation in North Coastal Area, Jakarta
Traditional fishermen of Muara Angke are one of the stakeholders in the coastal area of North Coastal Area of Jakarta. Because of the number of fish catches in the coastal area became reduced after the construction of islands through reclamation. Fishermen in Muara Angke, the owners have boats with sizes above 10 gross tons and below 10 gross tons, boats with sizes below 10 gross tons are owned by traditional fishermen who are unlikely to catch fish far to the sea due to the threat of waves. To be able to catch the fish with a distance of more than 4 miles from the shoreline, they require ships with a minimum capacity of 30 gross tons. In addition to the issue of fish catches for the traditional fishermen, the thing to note is also related to the existence of mangrove forests, because the reclamation will disrupt the existence of mangrove forests.
The rejection of fishermen against reclamation is followed up by filing a lawsuit to the Jakarta State Administrative Court. The arguments used by fishermen in their lawsuit state that the reclamation license is contradictory to Article 33 Paragraph (3) of the 1945 Constitution of the State of the Republic of Indonesia (3) of the 1945 Constitution of the State of the Republic of Indonesia, it has been interpreted by the Constitutional Court in the Decision of the Constitutional Court Number 3/PUU-VIII/2010. The interpretation of the phrase "Earth, water and wealth contained therein is controlled by the state": There are four powers and freedoms owned by the State, namely:
• State is given authorities and freedom to organize.
• State is given authorities and freedom to make policy.
• State is given authorities and freedom to manage.
• State is given authorities and freedom to supervise.
Interpretation is also given by the Constitutional Court on the phrase "For the greatest prosperity of the people", contained four benchmarks that can be used as a test stone in assessing the freedom to regulate and make policy whether it has been intended for the greatest prosperity of the people, namely:
• Utilization of natural resources for the people.
• The level of equitable distribution of natural resources for the people.
• The level of people's participation in determining the benefits of natural resources.
• Respect for the right of the people inherited in the utilization of natural resources.
Refusal by fishermen in the North Coastal Area of Jakarta to reclamation activity led to a conflict between the Governor of DKI Jakarta as a defendant. According to the theory of social conflict, sociologically the study of conflict is part of the social process. In the social process that becomes the object of observation is a social event or social action that has the nature of closer or associative and distancing or dis-associative [5]. So in this context, reclamation is a social event that has the nature of distancing—with the conflict. The examples of social actions that have a closer nature is cooperation. Cooperation belongs to the associative group, in cooperation there is interaction between several people with common goals. On the other hand, the conflict belongs to social actions that have the nature of distancing, while that belongs to the nature of distancing is conflict. Thus, cooperation can be a solution to mitigate conflict in North Jakarta coastal reclamation. Meanwhile, in view of Gramsci hegemony theory, what needs to be done in the reclamation is to minimize the resistance of fishermen and at the same time the Central Government and the Special Capital City Government of Jakarta should create spontaneous adherence from North Jakarta coastal fishermen. So it takes cooperation between the Government of the Special Capital Region of Jakarta, Developers and Fishermen in the North Coastal Area of Jakarta.
The policy of the special capital city government of Jakarta in the reclamation of the North Coastal of Jakarta is linked to the concept of sustainable development
Law Number 26 Year 2997 on Spatial Planning does not mention the reclaimed land, as well as in Law No. 24 of 1992 on Spatial Planning that no longer applies. The provisions on reclamation during the enactment of Law Number 24 of 1992 are contained in several regulations under the law.
The reclamation of the North coastal of Jakarta which is part of the coastal area utilization raises the conflict of interest and the social impact on the environment. This conflict of interest should be eliminated by applying a comprehensive policy in the form of marine spatial as well as national agrarian resource policy[6].Reclamation of the north coastal area of Jakarta is to realize 17 artificial islands, namely island A to island Q with nine developers in the reclamation activities, namely Limited Company (PT): Muara Wisesa Samudra, Pelindo II, Manggala Krida Yudha, Taman Harapan Indah, Jaladri Kartika Ekapaksi, Jakarta Propertindo, Pembangunan Jaya Ancol, Kapuk Naga Indah. Implementation of North Jakarta beach reclamation in relation to the concept of sustainable development[7], namely:
• The ongoing development process is supported by sustainable natural resources, environmental and human qualities;
• Natural resources such as land, water, air have a threshold in which their use will decrease quantity and quality, so that it will reduce the support of continuous development and cause disturbance to the harmony of natural resources and human resources.
• The quality of the environment has a direct relationship with the quality of life.
• Development enables the present generation to improve their welfare without diminishing the possibility of future generations to improve its well-being.
Sustainable development in addition to have a concept also has sustainability goals to be achieved[8]. The sustainability objectives to be achieved by this sustainable development can be used as a test stone against the reclamation of the north coastal of Jakarta. The sustainability objectives to be achieved are: Ecological sustainability; Economic sustainability; Socio-cultural sustainability; Political sustainability; Sustainability of defense and security.
Ecological sustainability is a prerequisite not only aimed at development, but also for the sustainability of life. In other words, even there is no development, ecological sustainability remains required. Some things that must be done to maintain ecological sustainability, namely: maintaining and sustaining the integrity of the environment (ecosystem) order for life support systems in advance is guaranteed; maintaining and sustaining biodiversity in the diversity of life in which ecological processes depend on sustainability.
Economic sustainability in development perspectives has two main things, namely macroeconomic sustainability and sectorial economic sustainability. These two economic sustainability have a close relationship with the objectives of sustainability of other aspects. Three important elements are necessary for macroeconomic sustainability, namely economic efficiency, economic welfare sustainable, improving equity and distribution of prosperity. Sectorial economic sustainability is useful for improving matters relating to policy adjustments to improve short-term macroeconomic sustainability, because if not corrected it will lead to sectorial distortions that will further neglect ecological sustainability. Therefore, it must be corrected through sector-specific and specific policies.
Socio-cultural sustainability is thoroughly expressed in sentences: social justice, human dignity and the improvement of the quality of life of all human beings. Goals to be achieved in social and cultural sustainability, namely: population stability; meet basic human needs; maintaining cultural diversity; encouraging local community participation in decision making.
The concept of sustainable development emphasizes the implementation of development today, it is not only to meet the needs of today's generation alone, but also must pay attention to future generations. In sustainable development requires a fundamental change from the conventional development paradigm. There are three fundamental changes [9]. First, sustainable development changes the short-term perspective into a long-term development perspective. Conventional development usually pursues short-term profits by exploiting natural resources. Secondly, sustainable development weakens the dominant position of the economic aspect and places it at the same level as social and environmental development. In this connection, the increase in the number of population has led to various social development issues that become obstacles to the benefits of economic growth. Increased population causes additional land needs to meet food, work, infrastructure and housing needs. Third, the scale of individual preferences becomes the indicator that determines what goods will be produced and through the method of resource allocation as efficiently as possible. The demand for goods by particular individuals is supported by high income and purchasing power. The interest is ultimately more powerful than the public interest. Sustainable development requires a fundamental change of policy so that there is no private interest in the public interest.
The policy that become the legal basis for reclamation in the coastal area of North Jakarta is Presidential Decree Number 52 Year 1995 concerning Reclamation of North Coastal of Jakarta, Regional Regulation of the Special Capital Region of Jakarta Number 8 Year 1995 concerning the Reclamation and Spatial Plan of North Jakarta Coastal Area; Regulation of the Special Capital Region of Jakarta No. 1 of 2012 on Spatial Planning of 2030; Presidential Regulation No. 54/2008 on Spatial Planning of Jakarta, Bogor, Depok, Tangerang, Bekasi, Puncak, and Cianjur Governor Regulation No. 121 of 2012 on Spatial Planning of the North Jakarta Coastal Reclamation Area; Presidential Regulation No. 122/2012 on Reclamation in Coastal Areas and Small Islands.
Presidential Decree Number 52 of 1995 on Reclamation of North Beach Jakarta is the first legal basis for reclamation on the North Coastal area of Jakarta. The definition of reclamation is declared to be a hoarding and draining activity in marine waters. Reklamasi in English is called reclamation, from the angle of the word, it is the process of reclaiming something from loss or from a less useful condition that is the process of recovering something from loss or a state less useful. This reclamation understanding has not been concretely related to something that will be recovered, because in the sense of reclamation is still general. Cambridge Advanced Learner's Dictionary provides an understanding of reclamation, first: experiments to make land suitable for buildings or agriculture. Second is the processing of waste materials to obtain useful materials from it [10]. Observing the definition of reclamation above, from the definition of reclamation has become the concept of North Jakarta coastal reclamation.
The provisions related to spatial arrangement in Presidential Decree No. 52 of 1995 on North Coast Reclamation of Jakarta are declared no longer valid. This is in line with the issuance of Presidential Regulation No. 54 of 2008 on Spatial Planning Jabodetabekpunjur Area. Article 70 affirms that Presidential Decree Number 52 Year 1995 remains valid as long as it is not contradictory and has not been replaced by the new implementation regulation in accordance with this Presidential Regulation. Several other provisions relating to the reclamation of the North Coast of Jakarta are contained in Article 34, Article 42, Article 45, Article 48.
The Regional Regulation of the Special Capital Region of Jakarta Number 8 of 1995 on the Implementation of Reclamation and Spatial Planning of the North Coastal of Jakarta states about the principle of the reclamation and spatial arrangement of the North area of Jakarta that is the utilization of space for all interests in an integrated, efficient and effective, harmonious, aligned, balanced and sustainable. Therefore, the effectiveness of applied policy is one of the key successes of North Jakarta coastal area development. So the development of North Coastal area development policy needs to involve various parties namely Central Government, Local Government of DKI Jakarta, entrepreneur, local community including fisherman, non-governmental organization [11].
The principle of reclamation and spatial arrangement of the north coastal of Jakarta requires the utilization of space for all interests. The utilization of space for all is done in an integrated, efficient and effective, harmonious, balanced and sustainable manner indicates that there is a wide range of interests that must be met for every stakeholder in the northern coastal area of Jakarta.
The concept of sustainable development as mentioned above in the context of the northern coastal reclamation of Jakarta has not shown ecological sustainability; economic sustainability; socio-cultural sustainability. The same is also conveyed from previous researchers who stated that the development of North coastal area of Jakarta has not reached the condition of sustainability. Unsustainable dimensions are ecological, economic, social, and technological [12].
4. Conclusion
• Rejection or resistance of fishermen to reclamation of North Coastal area of Jakarta by filing a lawsuit to the State Administrative Court showed an injustice on the side of traditional fishermen of Muara Angke, North Jakarta. Injustice occurs because of disruption of access to fish in the coastal area of North Beach Jakarta. According to the theory of social conflict, sociologically the study of conflict is part of the social process. In view of the theory of social conflict, reclamation is a social process that becomes the object of observation that has the nature of distancing—conflict. The solution offered is cooperation. Where cooperation belongs to the associative group, in cooperation there is interaction between several people with based on common goals.
• The reclamation of the North coastal of Jakarta which is part of the coastal utilization leads to conflict of interest and environmental social impacts. This conflict of interest should be eliminated by applying a comprehensive policy in the form of marine spatial as well as national agrarian resource policy.


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Metro-East News
Money is unaccounted for in TIF. Now employees might not get paid.
Village trustees on Tuesday night threatened to withhold payroll until city officials investigate possible fraud in the TIF program.
The board approved a resolution with a 4-2 vote to not pay any bills, including payroll, because of concerns that money was misappropriated in the tax increment financing program. The proposal was recommended by Trustee Herod Hill, chairman of the finance committee.
Hill recommended the TIF program be suspended until an outside investigation is performed to determine who cashed checks totaling more than $367,000.
As one example, Hill said, "Out of $78,000 for the TIF two program, we gave $4,000 to Ray Coleman's and Ann Rodgers' supporters. The other money was spent on payroll, equipment and this and that" for purposes for which TIF money is not intended.
Rodgers is the mayor of Washington Park and Coleman is her full-time paid consultant.
Rodgers, in replying to Hill's comments said, "That is totally untrue. That TIF money was not used for a supporter. And I will recommend that the board fully educates itself on what TIF one and TIF two can be used for."
Ray Coleman also denies that any TIF money was used for supporters of his and the mayor's.
"I have talked to Herod and when he talks about TIF two, I don't believe he's ever read the legislation," Coleman said. "(Hill's comments) are totally unfounded. In TIF one, individual residents get money from the mortgage interest buy down program. Those people were selected before I was ever around. TIF one covered residents in a small area.
"TIF two was created so more residents could benefit from the $4,000 grant program. But so far only one grant has been issued. The rest of the funds were used for police payroll and public works," Coleman added.
Rodgers said she was disappointed the board passed the resolution.
"That decision was solely on Herod, but the board went along with it," she said. "I am disappointed that the board did not want to pass payroll for our employees. They absolutely deserve to be paid."
Rodgers said the issues with the TIF that Herod was talking about occurred eight years ago. "Payroll should not be halted because of a matter from 2009," she said.
Hill said he has made numerous "requests, first with the mayor who directed me to the treasurer, who redirected me back to the mayor, only to be sent back to the treasurer pertaining to my concerns." Hill said the treasurer "acknowledged my unsuccessful attempts to make contact with the checks needed to start an investigation."
Treasurer Yolanda Clark could not be reached for comment. Rodgers denied that any exchanges occurred between her and Hill.
Being the finance chair and being of sound mind, I cannot recommend or approve the passing of payroll, bills or warrants. But what I will support is a thorough review of village finances.
Herod Hill, Washington Park trustee
"Being the finance chair and being of sound mind, I cannot recommend or approve the passing of payroll, bills or warrants," Hill said. "But what I will support is a thorough review of village finances. And I am asking for the full support of the board members to approve or just agree that an investigation is warranted."
Voting for the resolution were trustees Debra Moore, Clyde "Stonewall" Jackson, James Madkins and Hill. Voting against were Shawn Newell and Toni Whittaker.
Newell said the full board is in support of an investigation, but he voted against the resolution to not make payroll. An investigation could take time, he said, adding that the employees' pay should not be held up while the board waits for information about something that happened in a previous administration.
Newell said the police, firemen and public workers risk their lives to keep the village safe and they deserve to be paid.
Moore said she voted for the resolution "because of the report that the finance chair gave us. It brought up red flags for me."
Madkins said he voted against making the payroll because "the finance chair has his reasons."
"How much money is in TIF two?" he asked. "Every time I ask questions of the auditor, I have been getting the run around."
Hill, in his financial report, said, "At the January village board meeting, it was brought to the board that a past TIF debt...was still outstanding and would be reviewed by me to find out what was awarded, what was paid and what the remaining balance owed was."
A man who received some of that TIF money showed up at the January meeting and disputed the amount the village claimed he received.
Hill said he is certain that some people might question his timing "on this very serious matter being that it is so close to a political election."
"I may even lose some support, but I wasn't born a politician. I was born the son of a public servant, and I intend to serve the public justly. I believe the citizens deserve some answers," he said.
Carolyn P. Smith: 618-239-2503


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Property Description
THE GRAND DAME ESTATE OF PALM ISLAND SITS ON 3/4 ACRE IN THE HEART OF SoBe! Sunset Vistas over Miami Skyline w 225' of WF & 3 Vessel Marina. Hand-carved Italian Limestone Fountains, Putting Green & Bocce Ball Court. Olympic-sized Negative-edge Pool. Romantic Med Architecture & Renovated Modern Interiors. Soaring Mother-of-Pearl Livingroom Wall, Vaulted Hi-Ceilings, Italian Travertino Floors & Woven Mahogany Doors & Windows.Custom White Custom Kitchen & Eat-in Island in Tiger's-Eye Gold Semiprecious Stone.
Interior Features
- First Floor Entry
- Bar
- Cooking Island
- French Doors
- Vaulted Ceilings
- Walk-In
Exterior Features
- Deck
- High Impact Doors
- Exterior Lighting
- Open Balcony
- Open Porch
- Patio
- Wrap
Property Map
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