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From the practical (batteries) to the nostalgic (Big) to the decadent (hot cocoa chocolates), here are my top 10 picks for rocking their stockings.
Of all the traditions this season stands for, stuffing my family's stockings nears the top of the list of my all-time favorites, somewhere between baking gingerbread cookies with my mom and hosting my annual nachos Navidad dinner party for my girlfriends (stretchy pants required). While everyone has their own style of stuffing their loved ones' stockings, I'm convinced that giving practical goods (and a few tasty treats) is the best route to go.
Here are 10 awesome last-minute ideas for stocking stuffers I'd love to find in my stocking—all readily available in stores and on-coupon!
Milk-Bones ($1-off coupon): Don't forget to fill Fido's stocking! Milk-Bones are a classic treat that pooches adore (and I adore how they look in a jar on my counter!).
Venus Razor Refills ($2-off coupon): I'm always out of Venus cartridges at the worst possible times (25 minutes before my date arrives, for example) mostly because they're so expensive, which deters me from stocking up. Gifting a set of cartridges will ensure your loved one never ends up in a "hairy" situation!
MARS Holiday Bags ($1-off coupon): Nothing says Christmas more than stuffing handfuls of chocolates into a nearly-full stocking, am I right? I can't get enough of the limited edition 3 Musketeers Hot Cocoa Minis. They are to die for!
Chex Mix Limited Edition Muddy Buddies Peppermint Bark (50-cent coupon): Crunchy, sweet, minty and oh-so-very addictive, this seasonal snack is destined to be devoured by the bag-full. Stock up now before it's gone.
Big ($2-off coupon): Lazy holidays are made for re-watching old-favorites. This '80s classic, starring Tom Hanks, is a must-have for any feel-good film buff.
Millstone K-Cups ($1-off coupon): Keurig users can't ever have enough K-cups; stock 'em up so their favorite brew's on-hand at home and at the office.
Funny or Die Game ($3-off coupon): The journalism major in me adores this LOL-inducing caption-meets-card game. Great for ages 13 and up!
Bioré Pore Strips ($2-off coupon): You don't have to be a facial-addict to appreciate the gratifying (and kind of gross) effectiveness of these handy strips.
Energizer Batteries ($1 coupon): Because you know someone got a gadget, toy or game that's going to need 'em.
Glade Jar Pine Candles ($1-off coupon): Just because December 25th passes by doesn't mean I don't still adore the scent of pine candles. Glade's are some of the most potent out there (really!), with a long-lasting burn time and delightfully pine-y fragrance.


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ATLANTA - The Atlanta Falcons and the Georgia World Congress Center Authority have selected five architectural firms as finalists to design a proposed $1 billion retractable-roof stadium.
The Atlanta Journal-Constitution (http://bit.ly/WnMcOf) reports designers were chosen from a pool of 10 applicants and include architectural firms based in Atlanta, Philadelphia, Dallas and Kansas City, Mo.
GWCCA officials say finalists will prepare proposals including conceptual designs and will be interviewed within 30 days.
The future of the proposed new stadium has become tenuous since the GWCCA and the franchise agreed on non-binding terms of the deal in December.
Georgia Gov. Nathan deal asked the franchise to lower the proposed public contribution to the stadium from $300 million to $200 million, and lawmakers have yet to decide whether to increase the GWCCA's borrowing limit.

subset: commoncrawl


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Budget Battles
Trump and Pelosi Still Working on Drug Prices: Report
Seema Verma Won't Say What the Plan Is if Obamacare Gets Struck Down
Obamacare Premiums Are Going Down for 2020 — and the Trump Administration Is Claiming Credit
Buttigieg Would Hike Corporate Taxes to Pay for His Health Plan
Warren Says She'll Release a Medicare for All Finance Plan
Pelosi Pushes Ahead on Drug Bill Despite Clashes With Trump
The $30 Trillion Question Haunting Elizabeth Warren's Campaign
Fighting Corruption in Ukraine? Trump's Budgets Suggest OtherwiseBy Michael Rainey
President Trump has insisted that the controversial delay in the disbursement of military aid to Ukraine earlier this year was driven by his deep concerns about corruption in the Eastern European...
House Committee to Consider Vaping Tax That Would Raise $10 Billion
The House Ways and Means Committee is set to consider a bill Wednesday that would impose the first federal tax on vaping products. Roll Call reports: "The bipartisan bill, from New York Reps. Tom...
Senate Dems to Force Vote on IRS SALT Cap Rules
Senate Democrats say they will force a vote Wednesday to nullify IRS rules implemented to prevent blue states from creating workarounds to the $10,000 cap on state and local tax (SALT) deductions...
Buttigieg Would Hike Corporate Taxes to Pay for His Health PlanBy The Fiscal Times Staff
Pete Buttigieg has proposed a "Medicare for all who want it" plan, which would allow Americans to buy into the Medicare system while leaving the private insurance system in place. This past weekend...
Warren Proposes to Increase Spending on Public Education by $800 BillionBy Michael Rainey
Sen. Warren released an education plan Monday that calls for raising federal funding for public schools to $450 billion over 10 years, roughly four times current levels, according to Bloomberg News...
Warren Says She'll Release a Medicare for All Finance PlanBy Michael Rainey
Under pressure from competitors and journalists covering the Democratic presidential nomination race, Elizabeth Warren said Sunday that she would release details "over the next few weeks" to explain...
Are Democrats Too Afraid of Raising Taxes?By Michael Rainey
One of the crucial unanswered questions hanging over the democratic debate on Medicare for All is how its proponents plan to pay for it. While Bernie Sanders has made it clear that he would raise...
The $30 Trillion Question Haunting Elizabeth Warren's Campaign
There's a $30 trillion question looming over Elizabeth Warren's presidential campaign: How would she fund the cost of the Medicare-for-All plan she proposes? The issue was the subject of repeated...
Moderate Dems (Cautiously) Critique Warren Wealth Tax
Tuesday night's Democratic presidential debate saw moderate Democrats battle with Senators Elizabeth Warren and Bernie Sanders over their proposals for a wealth tax. Both Warren and Sanders have...
A Look at How Far Corporate Tax Rates Have FallenBy Michael Rainey
A chart from Howard Silverblatt of S&P Dow Jones Indices shows just how far corporate tax rates have fallen since the Tax Cuts and Jobs Act was passed. According to Silverblatt's calculations,...
Bernie Sanders Wants to Undo Trump's Corporate Tax Cut – and Much MoreBy Michael Rainey
Democratic presidential candidate Bernie Sanders wants to raise the top corporate income tax to 35%, the same level it was before the Tax Cuts and Jobs Act lowered it to 21 percent. In a sweeping...
Trump's Tax Cuts Cost Homeowners $1 Trillion: AnalysisBy Michael Rainey
The Tax Cuts and Jobs Act has cost millions of homeowners a collective $1 trillion in lost property values, says Allan Sloan, a former senior editor at Fortune and now an editor at large at...
Are We Asking the Wrong Question About Trump's Tax Cuts?By Michael Rainey
Most economists say it will take years to fully evaluate the effectiveness of the Tax Cuts and Jobs Act, but Greg Leiserson, director of tax policy at the Washington Center for Equitable Growth, isn'...
2019 Deficit Was Just Under $1 Trillion, Highest in 7 Years: CBO
The federal budget deficit for fiscal year 2019 grew to $984 billion, or 4.7% of GDP, the highest since 2012, the Congressional Budget Office estimated on Monday. The total for 2019 is 26% higher...
The Incredible Shrinking Tax Rate for the RichBy Michael Rainey
The highest-income households in the U.S. have seen an enormous reduction in their overall tax burdens since 1950, a development highlighted Sunday by The New York Times' columnist David Leonhardt,...
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Add Your Own Photos
Doll Wardrobe Set
- Free & Fast Shipping
Earn $25 back in rewards* for every $250 spent with your Pottery Barn Credit Card.Learn More
- Overview
Give your child's doll a complete fashion makeover. Attention to detail and quality fabrics make this a wardrobe she'll love.
- Dresses are sewn of a medley of fabrics including cotton percale, satin, tulle and soft boa.
- Features ribbon appliqué and stitched shoes.
- Set includes three dresses and one pair of slippers.
- Recommended for an 18" doll.
- Doll sold separately.
- Imported.
- Dimensions & Care
- Spot clean with a damp, white cloth.
- Shipping & Returns
Standard UPS can deliver most in-stock items within 3-5 business days.
- Available within the contiguous 48 states
- An extra charge of $26 per address.
- Order by 6pm PT Monday through Friday, you'll receive your order the next business day
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Select oversized items have an additional delivery and processing surcharge; this charge is listed below the item price.
View our complete Shipping and Delivery.
Eligible items can be returned for a refund of the merchandise value within 30 days of receiving an order or 7 days for Quick Ship upholstery items. An original receipt or gift receipt is required.
- Stores - You can return most non-furniture items to your local Pottery Barn Kids store for free.
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Delivery fees are non-refundable and prior purchases are not eligible for a price adjustment.
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For assistance please contact Customer Service at 1.888.922.4119, 7 days a week, 5:00 am - 9:00 pm (PST). We cannot accept returns on final-sale items ending in .99, monogrammed items or items damaged through normal wear and tear. Made-to-Order furniture or rugs are not eligible for returns. Delivery fees are non-refundable.
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Ad2 necesitaba un nuevo diseño de logotipo y lanzó un concurso de diseño en 99designs.
Un ganador ha sido elegido entre 335 diseños de 80 diseñadores freelance.
the balance master
My name is Anthony Delamare and they call me "the Balance Master" because of my unique system to wellbeing – I've learnt it's all about balance – Physical, Chemical and Emotional.
I have been successfully helping people to lose weight and balance their lives for 8 years, combining my knowledge and experience as a fitness and wellbeing specialist with my powerful coaching approach to lifestyle and nutrition. All learnt in a journey that has had me work and train with the best of the best in the US and UK – specialists in the fields of health and fitness
I have been to extremes in my life from a chubby kid to an Arnie wannabe and eventually serious injuries and a very obsessive and imbalanced diet; I have been through it all and had to learn the hard way how to become balanced in my body and mind.
Now I have combined my expert knowledge of health and fitness with the latest life coaching techniques in a Tried and Tested and Proven system to help YOU overcome any emotional limitations to progress and guarantee weight lose, increased energy and to love your body and life.
I have since helped some of the most successful people in acting, directing, opera, music, high level banking, home makers and medicine to lose weight and balance their lives.
My Audience is women between the ages of 25-50, who are 2-3 stone over weight.
they would have tried diets and exercise routines in the past but they never had a long lasting effect.
they would be interested in changing they way they think and feel to change their appearnace and become healthier and happier
they would be feeling very uncomefotable in their bodies, maybe not liking the way clothes fits, or not feeling very fit, they would be disberate to change their bodies.
they would have an income of above 30k be middle class, have looked into hypnotherapy, the ideal income would be 45k
I need a logo (title the balance master) with an attached image (like nike tick forexample-although not at lookiong like nike tick).
I logo has to be aimed at a more female audience but shoudl not be over femine.
colours I am open to but i like it when its only 1-3 colours.
the image attached (like nick tick), I am open to, however very often they are someone exercising, I would like something that says health and happiness but without the prodictable cliches of someone running or jumping.
the logo will be for web paage and on business cards and leaflets...
Descubre cómo funciona un concurso de diseño u obtén más información sobre nuestros servicios de diseño de logo.


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Questions and Answers - blood sugar
Use the chart below to help understand how different test results can indicate pre-diabetes or diabetes
|Fasting Blood Glucose
|Oral Glucose Tolerance Test
|Random Blood Sugar
|Test of sugar levels at least 8 hours without food
|Test of sugar 2 hours after a glucose drink
|Taken any time of day without fasting
|Average level of blood sugar over past 2-3 months
|Ideal Result
|Less than 100mg/dl
|Less than 140 mg/dl
|Less than 140 (even after eating a large meal)
|Less than 5.7%
|5.7% to 6.4%
|126mg/dl and greater
|200 mg/dl and greater
|200 or greater
|6.5% or more
Q: Why is my fasting reading higher first thing in the morning?
A: This early morning rise in glucose, known as the "dawn phenomenon" is normal and happens when our bodies produce a surge of hormones to help us wake up. During the day, activity tends to keep sugars under control if following a healthy, active lifestyle. If using insulin, it may help to adjust your nighttime dosage.
Q: Why does my blood sugar level go up when I do yard work? I drink water all the time and eat my meals on time, but when I do yard work, like digging and planting and cutting the grass, my sugar levels rise.
A: The first 30-60 minutes of exercise, especially in warmer weather, can raise levels. They should come down after that. Try checking right after your yard work, then again in around 90 minutes and see if you have a drop.
Q: What is the normal range that your blood sugar should be if you test it at home?
A: For a basically healthy person, a good fasting is under 100, and 80-90 is even better for most people. If you test two hours after a meal, under 120 is ideal.
Q: Why does my blood sugar increase after exercise? I had a blood sugar reading of 135 first thing in the morning but after a 3 mile walk my reading was 155. I had nothing to eat or drink during this time. I repeated this test and got the same results a few days later.
A: Wait an hour after you exercise and see if you get the same results. Exercise is a stressor, so blood sugar will be higher immediately after your session. Also, blood sugars tend to be higher in the mornings because of hormonal activity during the night.
Q: I have been told that I have diabetes, or "pre-diabetes", or that I am in the "honeymoon period" . My readings are all over the place: sometimes in the 120's, others in the 90's, sometimes, but rarely in the 150-170's. My doctor does not want to put me on medication yet. I exercise regularly and am not overweight though my diet is variable. I certainly like sweets, pizza, and pasta. What is the long term effect of these continued high blood sugar levels?
A: Firstly, kudos for your physician for giving diet/lifestyle changes a chance to work. Reduction of body fat often is the first best start. This may or may not be true in your case but certainly sweets, pizza, etc. are affecting your numbers. If you can discipline yourself at this time to eat unrefined foods and be more active, your beta cells that produce insulin may get the rest they need to become efficient again. Our diabetes management booklet has many referenced foods/supplements that may help to stabilize your glucose levels. In time, your favorite foods may be reintroduced in moderate amounts. You appear to be more in the pre-diabetes range at this time. Complications are a long process. If your daytime levels stay under 120-140, that is good. Fasting levels are higher due to hormonal activity nighttime; these levels are a much slower road towards any complications. Continue working on lifestyle/diet, as both can always be a bit better, and in time, you may start seeing continued improvement.
Q: Can sunbathing and high temperatures increase blood sugar levels?
A: High heat can lead to dehydration, which in turn can cause high blood sugars. It takes 6 molecules of water to move one molecule of sugar from the blood stream, so the higher the sugar, the more water you need to drink. Extreme hot or cold temperatures can cause changes in the vascular system that can affect blood sugar and cause reactions.
Q: My fingers are sore. Is there any other place on my body I can use to check my sugar?
A: Forearms are the next place you may be able to go. However, you may want to discuss this with both your meter company and your physician to see what the difference may be between finger/forearm. I trust you are testing the sides of your finger pads, and not directly on them.
Q: Why do I still have high blood sugar readings even after a super low carb dinner? I'm currently on 500mg metformin twice daily. I have already lost 30 pounds and now weigh 300 lbs.
A: A set dose of medication doesn't guarantee good control, even with diet improvement. You have started a good path with losing body fat, but you still carry enough to contribute to insulin resistance. Other medical conditions and medications you may be taking can also be a factor. In addition, foods eaten at earlier meals may not fully metabolize until later in day. If you are diligent with lifestyle changes, you should continue to see improvements over time.
Q: Why does my blood sugar jump from 115 to 165 after eating breakfast?
A: All food turns into sugar and carbs turn the fastest. It is normal for everyone's blood sugar to rise after a meal though folks without diabetes don't go over 140 as a rule. If your blood sugars had been closer to 100 before your meal, you would have been closer to a normal range. Also, it may have been the types of foods you ate. A breakfast that includes protein, such as an egg, and whole grains, such as a higher fiber toast may help to keep your numbers down. Check your blood sugars 2 hours after eating for a while so that you see how you are the rest of the day. This will help your physician in adjusting any medications you might be on. Keeping a very healthy lifestyle is your best ally for keeping those numbers down.
Q: Every two hours after I eat, I take my blood sugar reading. I assume that if two hours post-meal my reading is 120 or below, I have good control of my sugar. However, if I have a small snack 30-60 minutes before I test, will that affect my blood sugar when I take it at two hours post-meal?
A: It may, depending on what you eat. Simple carbs will react pretty immediately and certainly within the 30-minute timeframe. Protein and fats take longer in the digestive process. You may want to check just before your snack. The highest peak blood sugar levels generally occur 1 hour after a meal if carbs were eaten. At 2 hours, protein begins to break down into blood sugar so one may begin to see some food effect. Test both before and after your snack and see what differences in readings you may notice.
Q: My morning and afternoon blood sugar readings are fine but the reading before my evening meal is still really high, even though I have only been drinking black coffee and water during the afternoon. I try to walk between two and four miles a day, so I am sure I am getting enough exercise. I do seem to be stressed most of the time, and wondered if this could have something to do with it.
A: Stress can play a part; you may want to have your cortisol levels checked to see if they stay elevated later in the day. Caffeine can also elevate levels in the short run. If you exercise right before you take your reading that can also be a factor. Try waiting 1/2-1 hour and see if that makes a difference.
Q: I recently had a scary situation where my blood sugars dropped to a low number. An EMT was called and he measured my blood sugar with a meter at 46. He told me to eat some cookies. I ate four or five cookies and immediately had blood check again but it wasn't going up yet, so was administered a tube of some type of glucose. Once again my blood sugars were measured within a minute or two and the level was now up to 125. The EMT left but within minutes I was experiencing extreme confusion, my legs were very shaky, and I finally fainted for a short time. I had nausea, and an extreme headache for hours. What could have been happening to me?
A: Your blood sugar levels rose too quickly. 46 is very low, and it sounds as though within the space of 10 minutes or so you were back into the diabetes range. The protocol to follow for low blood sugar when that low would be to administer 15 grams of carbs, then re-measure. Starting with the tube would have brought you into a better range more immediately, wait 15 minutes, then retest. You would probably have been in a range where the next "food" would be a protein/carb combo: milk if you drink it, yogurt, nut butter on crackers, etc. Always stay well hydrated; this will help avoid some of those after-effects of low sugars. Better yet: be sure you are understanding how to eat for blood sugar control. This is even more important if also on medications.
Q: I suffered what I believe was a low blood sugar attack with extreme dizziness and nausea. I take medication for type 2 diabetes. What should I do next time this happens?
A: It sounds like you did have a low blood sugar attack. It could be that you are not requiring as much medication, and/or you waited too long between meals. You should be checking your blood sugars and make sure that you know what ranges your physician wants you in. The idea is not to eat more to feed the medication, but to hopefully lower the medicine dose. Glucose tablets are good to carry with you in emergencies as the dose is then measured. Lifesaver candies can also work. The usual amount is 15 grams of carbs every 15 minutes until blood sugars come up.
Q: My friend's meter is giving me a different reading than my meter. I use the control solution BUT is that really accurate?
A: It is not uncommon to get some difference in readings between meters, but it should not be too broad a span. You might consider taking your meter to your physician's office at your next visit and see if you can test it against one of theirs. I suggest you also call your meter company and discuss your concerns. They do calibration studies and should be able to give you some solid answers.
Q: Can the hot weather have an effect on a persons blood sugar readings?
A: High heat, particularly warm weather, does not directly affect your glucose levels, but it can lead to changes in your daily habits: eating less and not adjusting medication, being less active, and possibly over exerting yourself. These situations can lead to either higher or lower levels. Dehydration can set in more readily; don't wait for thirst to be your clue. Carry water at all times. Sunburn is stressful to the body and can elevate glucose, so plan your sun exposure and exercise for earlier or later in the day. Remember also that high heat can affect meter strips and medications, especially insulin. Be smart with the heat, and you will manage your glucose much better this summer.
Q: After 8 years of successfully controlling my type 2 diabetes, my fasting numbers are starting to creep up into the 200+ range and my doctor wants to put me on insulin. What am I doing wrong?
A: Many variables can cause this change. One factor is that as we age (I like to refer to this as "chronological maturity"), hormones change as well. Another very common variable is that we often eat the same way, not increasing our intake, but neither do we increase our activity levels. Taking insulin for a time may give the beta cells the rest they need, with perhaps returning to your lower levels. Conversely, many do experience a decline of insulin output over time, regardless of lifestyle management. Your gene pool may have you on this path. Do what you need to get back into good management. Managing one's stress levels is a "must"; yoga, Tai Chi, dance are just a few examples of very positive supports. Find what works for you.
Q: I have type 1 diabetes and whenever my blood sugar is low I feel as if my thinking process is different and I tend to feel anxious. Then once my sugar gets back up I don't feel that anxiety anymore. Does that have to do with blood sugar levels affecting my thinking?
A: These are symptoms that occur with most people with low blood sugar. Remember, food is fuel for the body, and the form of our food is sugar, which you need to have enough of in your body for your brain to function normally. With low blood sugar levels, anxiety, lack of focus, gloom-to-doom thought patterns can manifest. This is very true with hormonal imbalances as well. Many kids begin to show signs of this with puberty and poor lifestyle/eating patterns that abound in today's society. The important thing here is that you know how to fix these symptoms. Better yet, keep yourself from getting to that point by always having something with you to elevate your blood sugar. Keeping a pack of glucose tabs with you at all times gives you a set dose of carbs to take when you first feel signs coming on. Dry roasted nuts also carry well to hold off hunger.
Q: I am an elementary school nurse. I have a 10 yr old student with type 1 diabetes. He typically comes in low before lunch (50-70), eats lunch, retakes his blood glucose 30 minutes later and it is up to 120-140. However, at that time the parent recommends the full compensation of insulin for carbs ingested at lunch. Invariably he comes back in less than an hour dropped back down to 50-70. My thought is they need to compensate for the low number that they are starting with before they give him a dose based on carb ingestion only. What are your thoughts?
A: You are on the right track with seeing there is a deficit here in food/insulin. This is an active growing child. As with anyone with diabetes, it is important to have the right amount of protein/fat in place to create a more stable baseline for levels. Being around 110 pre-meal would be good unless his physician has established different numbers. The goal is not to keep feeding carbs to manage the insulin, but to reduce the insulin overall because the glucose levels are in better range. If he eats eggs for breakfast, they should provide a more stable morning. If the child begins to show fatigue and his performance is affected in school, this may be the documented route you need to have them revisit the protocol with their physician. Nobody wants him to suffer hypoglycemic episodes, which it sounds like he could be a candidate for.
Q: I have had type 2 diabetes for 15 years. Although my fasting levels are generally higher in the morning, two weeks ago I noticed a few levels approaching 240 fasting before breakfast. For example, last week my morning level was 235. I ate a meal that had eggs and turkey sausage and coffee without sugar. My blood sugar dropped to 196 after one and a half hours. I took a walk for 20 minutes and my sugar level was 127. Then I had another coffee and an hour later my sugar was 190 again. Why would this happen?
A: Food intake is a most powerful player here. It is common for blood sugar levels to be elevated in the early morning due to hormonal activity during the night, then begin to drop during the day with usual daytime activity. Then, assuming eating is well-controlled, daytime levels can be in normal ranges. You should clarify with your physician what the target glucose goals are for you for both fasting and 1-2 hours post meals. The morning protein meal you ate converted into glucose at a far slower rate than if you had eaten a carbohydrate based meal, so it is not surprising that you saw a drop in levels as you did after that meal. Coffee is often listed as a "free food" that does not affect blood sugar levels but you can see this may not be the case. It does stimulate the central nervous system and can cause some short term rise in levels.
Q: I was diagnosed with type 2 diabetes five months ago. I have been testing and trying to determine what is working and what is not. I've noticed recently I could have a double cheeseburger and fries and have a reading of roughly 140 two hours after. Yesterday I vigorously tested and found, 1.5 hrs post was 122, 2 hrs post was 142, 2.5 hrs post was 168, 3 hrs post was 189 and finally 3.5 hrs post was 85. A 104 pt drop in 30 minutes. Should I still be testing two hours after a meal when I was apparently at my highest three hours after?
A: This all depends on what you are eating. A double cheeseburger will show its greatest impact in that 3-4 hour time frame because proteins and fats start to peak into glucose 3-4 hours post meal. Most carbs peak by 1 hour after eating and are pretty much through the entire digestive process 2 hours after eating. If you eat few carbs and primarily meat and fats, then you will peak later. This is why in most structured meal planning, you will see meat intake to be about 3oz./serving, gradually increased for high calorie meal plans required by larger individuals. Get a good balance with your foods to where you include lots of veggies/higher fiber foods and smaller amounts of refined carbs/very low fiber starches (white breads ,etc). Testing after different times with different foods will give you a better idea of what raises your glucose levels more quickly.
Q: When my type 1 diabetic son goes low....under 70, if we give him 15 grams of carbs, how much does it bring his levels up by?
A: 10-15 grams is targeted to elevate glucose levels 30-45 mg/dL. Assuming this is from quick acting choices such as 4 oz juice, 3 glucose tabs or 6 oz. of milk, his levels should come up quickly and be tested at 15 minute intervals until the target is reached. For those on insulin, it is especially suggested to treat once blood sugars drop below 72mg/dL. I suggest you enroll in diabetes management class if you have one in your area, or at least be very clear from your medical team what the basic targets and management skills are for your son.
Q: I just got a new glucose monitor and my numbers are lower than with my old monitor - as much as a 23 point difference. I am curious if you know why this would be?
A: I'm assuming you have made sure your old strips are up to date and calibrated if necessary? I suggest you call both companies for an explanation, then perhaps assume the newer meter is giving more accurate readings. You can verify this by bringing your meter to your physician's office next time you go and test against their machine if they do this in the office. There is often some difference between meters, but that is a very wide range.
Q: I think I may have diabetes because my fasting glucose is 140 but my doctor said I do not have diabetes. I get light headed, dizzy, blurry eyed, and my hands shake if I don't eat a snack with sugar in it between meals. Please help, my doctor says Im fine.
A: You clearly have blood sugar inbalances, going from some moderate highs to lows. The shakiness, etc. is hypoglycemia. Has your doctor done a glucose intolerance test on you yet? I suggest the one that shows your glucose levels at 4 intervals 2-3 hours apart. You may be higher in the morning and then going low daytime. Eating unrefined foods, lean protein, and more veggies than starches are really important for you right now. Eating 5-6 small meals/snacks should be your pattern. An apple and 1 oz. of cheese or 1 tbs. of nut butter is an idea for a snack. Learn where protein comes from and include it more. Beans have a good source of plant protein and fibers that stick with you longer and break down into sugar (as all food eventually does) in your blood stream more slowly. This is a good thing, as you won't get a low blood sugar nearly as quickly. Candy, juices, etc. are all turned into blood sugar very fast; they don't stick with you. Think of these simple sugars as very short term fuel. You may need a 2nd opinion. Eating correctly will help you straighten this out.
Q: My Dr. said my glucose number should be between 65-99. I am a 77 1/2 year old female who recently started experiencing low blood sugar episodes, especially at night. If my number when tested is 103 and lower, I shake, sweat and am generally miserable till I drink orange juice, etc. Is it possible that my count needs to be higher?
A: I do think you need to revisit this with your physician, as clearly you seem to be requiring a higher blood sugar level. A textbook normal fasting glucose is closer to 80; 65 would be too low for many people. Keep close track of your intake, and be sure to eat protein at each meal.
Q: I was recently diagnosed with type 2 diabetes and manage with diet and medication. My primary care doctor told me when my blood sugar gets low and I get shaky I should take a pinch of table sugar. My question is, should I eat something like an orange or something other than table sugar to raise my blood sugar? It just seems counterproductive to watch what I eat all day, every day, then take some sugar to even out my blood.
A: Low blood sugars are better treated by drinking 4-6 ounces of milk if you are a dairy consumer, 4 ounces of juice, or some sugar equivalent to equal 15 grams. 3-5 Lifesaver candies often does the job. However, the goal is not to have to eat more, but to lower your medication requirements. As you continue to take charge of your lifestyle and how different foods affect your levels, episodes will be less frequent. When you are just beginning to show the signs of low blood sugar, milk is a good choice (this includes soy milk) because it has the right carbs to get into your bloodstream quickly, but also has some protein to digest at a slower rate. I suggest you try to find some diabetes classes in your area to learn all you can on how to manage, especially eating.
Q: I'm a type 1 diabetic and going though menopause. My blood sugars are consistently high whereas before they were on target. Does menopause cause my body to resist insulin?
A: Hormonal changes can affect your glucose levels, as you are experiencing, which is not exactly insulin resistance. It is important during this time that you eat foods as unrefined as possible and stay active to reduce any potential symptoms like sweats and hot flashes. This will help to reduce glucose fluctuations as a result of less fluctuation at the nerve levels. You may want to eat the exact same diet every day to see what is due to hormones versus diet, etc. In addition, nutritional compounds for menopause may help with balance.
Q: I am on an 800-1000 calorie diet and my blood sugar readings are still 104-109. Shouldn't they be lower?
A: I would first suggest that you are eating too few calories; this is not effective fat loss. It will most likely serve to alter your metabolism more than give you any long lasting results. Fasting blood sugars of 100-125 constitute a diagnosis of pre-diabetes. You would fall into this range. A goal would be to be less than 100 fasting. I suggest you get some guidance with a healthy eating plan for yourself, be active, and target long term body fat loss at a gradual pace as the way to effectively achieve your goals.
Q: What finger should I use when testing? On two occasions I've had different readings from two different fingers.
A: It should not matter which finger you use as long as you test on the side of the finger. Do not milk the finger; hold it upside down to let the blood flow to the tip. Readings may vary slightly. If the spread is wide, be sure you tested correctly in both situations. If you still get discrepancies, I suggest you call the 800 number on your meter and ask their advice.
Q: What are the risks when blood sugar is 400 to 500?
A: The intensity of the symptoms will vary between individuals. If these high blood sugars persist, some symptoms that may be experienced include dizziness, nausea, headaches, frequent urination, and hunger. In some cases, one may even experience Diabetic Ketoacidosis, a condition that if left unchecked, can lead to coma. This is generally more associated with type one diabetes. High blood sugars over the long-term precipitate complications such as organ and nerve damage.
Q: I had a blood test but did not realize that I was supposed to fast beforehand. I had two cups of the coffee in the morning, and a sandwich and chips for lunch. My results came back at 293. Is this an accurate test? Do I have diabetes? My doctor wants to put me on medication.
A: 293 would still constitute a diagnosis of diabetes, since it is over 200 - the limit for a random blood sugar, even without fasting. In my experience working with endocrinologists, the next step after "discovering" the high blood sugar would be to order an A1C test to measure an average over the last 3 months. An Oral Glucose Tolerance test may also be order to see how the blood sugars go over the course of 3 hours after a high carb load. If you have no other symptoms or uncontrolled conditions, a course of 3 months of focused diet/lifestyle changes may be put in place to see how far your numbers come down before starting medications. It is most important for you to get educated on eating for diabetes management. Exercising and working towards reduced body fat is usually also at the top of the list.
Q: What is the normal blood sugar levels for a pregnant person fasting, immediately following a meal and 2 hours after? How many carbs can I eat?
A: The guidelines for gestational diabetes have gotten tighter. Those practitioners who manage their patients more tightly prefer a fasting glucose of less than 90 and 110 one-two hours post meal. The best rule of thumb for carbs is NOT to eat them in the morning if you do experience elevated blood sugars. This often means saving your fruit for lunch or later. How many carbs is dependent on your nutritional needs and caloric needs for your pregnancy. It would be helpful for you to have a consult with a nutritionist who understands gestational diabetes patterns. Once you and your physician have determined your blood sugar guidelines, a management plan should follow. Meanwhile, eat unrefined foods as much as possible, lean "flesh", and minimize sweets and juices.
Q: Can having diabetes cause your blood alcohol levels to go up?
A: Yes, though generally this is more pronounced for those with insulin dependent diabetes. When the cells can't suck in the blood sugar due to insufficient insulin, the body breaks down fat for fuel and produces ketones, which can cross-react with both blood and alcohol tests to produce a positive result, even without a drink. Lots of ketones can cause a fruity breath, mistaken for alcohol, and cause a person to have symptoms of being intoxicates such as slurred words and dizziness. ALWAYS HAVE ID ON YOU THAT IDENTIFIES YOU ARE DIABETIC TO AVOID UNNECESSARY HASSLE AND GET TREATMENT YOU MAY NEED IN A TIMELY FASHION!
Q: Is a 132 glucose level, after a ten hour fast, high enough to be concerned about?
A: Two fasting levels of 126 or greater is a diagnosis of diabetes. If this was a lab test, your physician should order another fasting glucose to confirm, and an A1C to get your average level over a 3 month period. Meanwhile, start practicing a very healthy lifestyle, understanding what food choices to focus on. In a nutshell, focus on eating lots of veggies, some fruit, legumes, lower starch, and fish or smaller amounts lean meat. BE ACTIVE! That is the best key to control.
Q: My fasting blood glucose is normal, but the A1c was 6.5. What would you recommend?
A: I suggest to closely review what you eat the entire day, and increase your activity level if necessary. If your fasting is between 80-90, great! If higher, then lifestyle habits certainly are what need to be addressed first. You may also request an Oral Glucose Tolerance Test to see what your blood sugar response is post-meal.
Q: Why does my blood sugar get highest 3 hours after eating? One hour after eating my blood sugar is around 160-180, after 2 hours it is around 100-125. What's confusing is it goes up again after 3 hours post-meal to reach 140 then drops down again to 100, and stays at that level. Readings taken after fasting are between 90 to 110. Is this usual?
A: Most of what you describe is usual, particularly depending on what you are eating. Is the 3 hour rebound the same daily? Do you monitor that often? If you are exercising or particularly active before that 3 hour measurement, that could account for a slight rise, followed by the drop. That is a normal pattern for the immediate effect of exercise on blood sugar. Are you on insulin? It sounds as though you may need to revisit your eating habits and tweak your medication program to help you start with an even lower fasting blood sugar.
Q: I have type 2 diabetes and am having problems keeping my morning blood sugar to desired levels. My afternoon levels are usually in the normal range. I'm overweight, but I've lost about 27 pounds hoping to reduce my average blood sugar. However, this has not happened. What could this mean? Is my disease progressing?
A: There are several factors that affect morning blood sugars. Often, with reasonable control of diet and exercise resulting in weight loss as you indicate, you do experience a drop. Is your diet as "impeccable" as you can make it? Nutritional supplements also can be helpful when professionally guided. Don't give up; keep up with your good work. Insulin resistance can be just that: resistive! For some people, if they don't follow a disciplined program, blood sugars will keep rising. Sticking to a healthy lifestyle will only be a win-win situation for you in the long run.
Q: I sometimes experience a rise in blood sugar levels whenever I am under a great deal of stress or am ill. Even if I'm strict about my diet, is there any way of keeping the sugar levels down without having to take insulin? Will they return to "normal" levels without medication, or will I still require insulin shots?
A: In general, illness and stress do elevate blood sugar, and if you are already requiring insulin when you are otherwise healthy/unstressed, you may need more at these times. If your blood sugars fall into normal levels without needing medications, then triggers such as an illness may or may not raise them, and if so, may not raise them high enough or long enough to warrant medication. Be sure you understand the nature of the disease, and monitor yourself in all situations as closely as you can. No one will be able to manage this better than yourself.
Q: What is a good blood sugar reading after eating a meal?
A: In an entire day, we generally say your blood sugar should not go over 140 even after eating a large meal. Ideally it would not go over 120 two hours after eating. With diabetes, one's physician may have a higher goal, depending on the health of the person, in order to avoid hypoglycemia (low blood sugar).
Q: Does maintaining a level glucose mean that I should constantly keep my sugars the same, or will the numbers go up and down?
A: There are ranges to maintain your glucose within. Ideally, you will target to be under 100 before breakfast (fasting), and under 140 after meals. You are trying to avoid the extremes of high and low blood sugars. Ask your physician what his/her blood sugar goals are for you immediately and over the long term.
Q: Does high blood sugar cause your blood to get thick and sticky?
A: Very high blood sugars can accelerate dehydration, which could contribute to "thick" blood. Other medications may also lend to dehydration. It takes six molecules of water to move one molecule of sugar through the blood stream. With all the emphasis on food and lifestyle changes, drinking enough water is basic to good management. Generally, 8 glasses per day is a good start for most people, realizing some will need more, some less. If your first morning urine is not reasonably pale, you are probably not getting enough water.
Q: Do I need to be concerned that my blood glucose runs about 106 fasting every morning? The rest of the day it is fine. I run and lift weights regularly, and my diet is good while watching my carbs. I do not drink. I am also careful with snacks at night.
A: It is good that you are normal during the daytime. The biggest wear and tear on the body seems to come from fluctuating daytime levels rather than a stable but slightly high fasting level. Yes, it would be good to get under 100, ideally between 80-90, but if you truly are most diligent in your lifestyle, you should be able to maintain good health. Certain hormones elevate nighttime levels, contributing to morning highs. Research is out there on many nutraceuticals that may lower fasting blood sugar levels. Water soluble cinnamon in capsule form is one of the most recent that is showing good results.
Q: What should my blood sugar be before meals and 90 minutes after a meal to be an acceptable level? I am pre-diabetic.
A: In general, you do not want to be over 140 post-meal at any time of day. Staying closer to 120 post-meal is an even tighter goal and mimics the non-diabetic state better. Pre-meal blood sugars will vary depending on the last time food was consumed; a goal is to stay between 80-120. Maintaining consistent exercise and monitoring carbs and food quantity will assist in keeping your 2 hour post meal blood sugars under 140.
Q: However, I can have a normal blood sugar reading of about 90 before breakfast and then after a moderate cereal-toast breakfast, my blood sugar will go over 200. I am not diabetic according to medical tests.
A: Have you had an Oral Glucose Tolerance Test? Newer research is placing more emphasis on the after meal glucose elevations as opposed to just monitoring fasting glucose. You are experiencing hyperglycemia, which as an initial diagnosis, generally manifests as slowly elevating fasting glucose. Ideally, your fasting glucose should be closer to 80. 100 is pre-diabetes. I would suggest that your breakfasts now consist of more protein and less carbs. Good choices include egg, yogurt, nut butter, cheese, meat, oatmeal, etc. Target for 20-30 grams of protein at each meal. Any carbs you eat should have fiber: whole grain toast, fresh fruit, etc. Breakfast cereals generally don't fit these criteria unless you search for a type with higher fiber. I suggest an overabundance of plant foods now, to clean out your system a bit, giving your liver a work break. This should help to fine tune your metabolism. Make sure you have essential fatty acids in your intake: fish/plant foods are main sources.
Q: My husband is on an insulin pump but after a severe low blood sugar, he will struggle for several weeks to get his blood sugars under control again. The blood sugars go low and then high for no reason, regardless of diet, exercise, insulin.
A: I suggest you work a bit more closely with the pump trainer on how to cut back on insulin depending on time of day, activity level, etc. With the abilities of today's pumps, there are many options for programming different dosages throughout a 24 hour cycle. In my experience, most pumpers need at least 2-3 different program rates. If you begin to notice a pattern of lows, that would be the time of day or activity relationship to begin cutting back with. This may mean both bolus and basal rates. If lows do occur, try to avoid over treating. Four ounces of juice may be enough if he is really low. Tablets may be a better choice to control the carb amounts, re-administering every 15 minutes until a desired blood sugar level is reached. With perseverance and lifestyle consistency, he should reach a more stable pattern.
Q: Do cold temperatures affect blood sugar? My blood sugar numbers have gone up since the building turned the air conditioning down. The cold air vent is directly above my desk, blowing cold air directly on me.
A: Extreme temperature changes can create a stress reaction, elevating blood sugars. If you are cold, I'm sure you are "bundling up". Hopefully, you will adjust with time. And is it possible to shift your desk?
Q: How often should pen needles be used before discarding?
A: Pen needles technically are to be used once. In reality, most people who do more than one injection per day immediately cap their needles after use, discarding at the end of the day. Most pens are prefilled, so when finished, discard and start another pen.
Q: My wife is having problems with her blood sugar levels. She has been watching her carbohydrate intake but when she sleeps for at least 8 hours, her sugar levels are higher. Why?
A: It is good she is monitoring her carbs closely, but it is also about the total intake of food and her activity level. Glucose is generally higher in the early morning due to hormonal activity during the night. If she is also elevated during the day, it again may be the types and quantities of foods. Perhaps her medication needs reevaluating. I would suggest she pose these questions to her physician.
Q: I have had type 1 diabetes for about 16 years now. My A1C was 8.6 for a while but now I have it down to 7.6 and lower now. The problem is that now I feel like I am having low blood sugar even when I am in the good range.
A: For many who have adapted to functioning on higher sugars for many years, then in a reasonably short period drop into more normal ranges, low blood sugar symptoms may persist for a time. This means that your insulin is functioning far more efficiently in removing sugar from your bloodstream. At 7.6, you are still in a higher range, but certainly closer to numbers that are more protective for complications. If you are on other medications, particularly for CAD, these may also contribute to symptoms. Make sure you know from your physician what range you should be in. If the symptoms persist, perhaps something else would be the cause not directly related to glucose lowering in the bloodstream. Hormonal changes as part of the life cycle can also play a role.
Q: Do I use the first or the second drop of blood when testing my blood sugar?
A: With most strips now, you can touch them with the first drop. It takes far less blood than it used to to get a good sample. One drop is all that is needed.
Q: I've been taking my blood sugar readings for 2 years. The highest reading was 200 after a meal by 1 hour. Fasting blood sugar is almost between 80 to 100. With such readings, should I be concerned about being diabetic?
A: You are showing readings of hyperglycemia. There is a greater movement among diabetes management practitioners to emphasize the importance of post meal control. This is because blood sugar excursions contribute to higher oxidative stress, which in turn may cause increased tissue damage leading to greater risk of complications. This seems to be more true than chronic sustained high blood sugars, such as only high fasting levels.
The ideal fasting blood glucose reading is less than 100. The ideal post-meal blood glucose reading is less than 140. 140-200 post meal/random reading is considered pre-diabetes. I suggest you carefully reevaluate your daytime eating, perhaps being more careful of carb intake and type and follow up with your health care practitioner.
Q: I am a 74 year old male whose glucose level has gone slightly but steadily up over the past year and a half: 99, 104 and today 106. My doctor seems not concerned as I have none of the usual diabetes symptoms, have loads of energy, exercise a great deal at recreational sports, and eat wisely. Given the glucose level and fact that many in my family have diabetes, I am concerned and wonder what I could do?
A: It sounds like you are on a good path geared towards a healthy lifestyle. You may want to seek professional nutritional counseling to fine tune if you are not already very aware of such issues as the impact of carbohydrates. You are still maintaining a low pre-diabetes status. There are nutritional supplements such as cinnamon that may also be helpful in keeping your blood sugars down. Be certain too that you stay well hydrated by drinking lots of water. If you maintain these numbers and don't go any higher, you should do well.
Q: My blood glucose runs about 106 fasting every morning. The rest of the day it is fine. I run and lift weights regularly, and my diet is good while watching my carbs. I do not drink. I am also careful with snacks at night. Is this morning level a reason for concern and why is it high in the morning?
A: It is good that you are normal during the daytime. The biggest wear and tear on the body seems to come from fluctuating daytime levels rather than a stable but slightly high fasting level. Yes, it would be good to get under 100, ideally between 80-90, but if you truly are most diligent in your lifestyle, you should be able to maintain good health. Certain hormones elevate nighttime levels, contributing to morning highs. Research is out there on many nutraceuticals that may lowering fasting blood sugar levels. Cinnulin PF, from cinnamon, is one of the most recent that is showing good results. It can be found in capsule form.
Q: I have been overweight for years and have been having my blood sugar checked at bi-annual doctor's appointments, always to be told it was "fine" or "normal". Five months ago the A1c was 6.3. Now it has gone to 10.1 with a fasting blood sugar of 329. While at my first diabetic management appointment, the nurse showing me how to test my blood sugar got a 428, stuck a needle of insulin in me, and sent me home with vials and needles. Is it normal for someone to go from fine to insulin diabetic so rapidly?
A: I would hope you had a bit more instruction than what you are conveying. With blood sugars over 300, it is now the thought of many endocrinologists to start a person on insulin to detox the beta cells of the pancreas. This may only be for a short period if lifestyle changes are diligently made. Sometimes, it is a shift to oral medication, or none at all. Over the years, one may need a return to insulin and/or other medications. Take charge of you lifestyle habits and get all the education you can on managing this disease.
Information on the "Question and Answer" pages should not be relied on for medical or technical advice. Always consult your healthcare team. Diabetes Action and Jane DeVane cannot be responsible for errors or wrongful use of the information available on this website. The information provided on this site is designed to support, not replace, the relationship that exists between a patient/site visitor and his/her physician/medical team.


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Our vision is to make car ownership easy for you, our neighbours, our family and our friends. We get it- buying and taking care of your car can be difficult and cumbersome. It's hard to know if you're buying and servicing the right car at the right price and if you are being provided the right advice. Since its founding The CROWN Auto Group has always sought to do the right thing for its customers, employees and the Winnipeg community. We aim to treat you the same way we would treat any welcomed guest in our own home.
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Validation of a Kinematic Functional Shoulder Score Including Only Essential Movements
|The safety and scientific validity of this study is the responsibility of the study sponsor and investigators. Listing a study does not mean it has been evaluated by the U.S. Federal Government. Read our disclaimer for details.
|ClinicalTrials.gov Identifier: NCT01431417
Recruitment Status : Completed
First Posted : September 9, 2011
Last Update Posted : June 4, 2015
- Study Details
- Tabular View
- No Results Posted
- Disclaimer
- How to Read a Study Record
A lot of shoulder function evaluation scores exist but none has been universally accepted as a gold standard.
Recent studies have demonstrated the potential of computerized movement analysis with embedded sensors for objective evaluation of shoulder functional outcome following surgery.
A very simple testing procedure is possible as just a few repetitions of two simple shoulder movements are sufficient. This could potentially facilitate implementation of shoulder function movement analysis in current clinical practice.
However, at the present stage of development, the method needs to be extensively validated. This means that the research will intend to determine precisely for which current shoulder pathology it can be applied, what the outcome of healthy people is, what the reliability of the score is and how it can monitor patient evolution.
|Condition or disease
|Rotator Cuff, Syndrome Frozen Shoulder Humerus, Fracture Other Instability of Joint, Shoulder Region
Measurement of shoulder function is a controversial issue. There is a great variety of measurement tools but none of them has been universally accepted. There is therefore a need to develop extensively validated and convenient measurement tools.
Embedded computerized movement analysis can potentially meet these requirements for measurement of shoulder function. Ambulatory measurement devices allow application in various clinical conditions, display adequate precision and accuracy, and are considerably more straightforward than laboratory-based systems.
Using a Physilog ® II embedded system, Coley (2007) developed a relatively simple score of shoulder function (P Score). The method is based on arm power measurement by three-dimensional accelerometers and gyroscopes during seven consecutive shoulder movements. It demonstrated reliability, responsiveness and criterion-based validity. However, additional knowledge and technological progress could now contribute to further simplification of the testing procedure.
Indeed, a secondary analysis of Coley's study data based on principal component analysis and multiple regressions highlighted that a procedure including only two selected movements produces comparable results to P Score. Moreover, the development of wireless systems considerably simplifies set up. Consequently, simpler but equivalent measurement procedure can now be considered.
A pilot study (ClinicalTrials.gov identifier: NCT01281085) has been conducted to prepare this study. it contributed to determine the number of replications of movements needed and to refine the testing procedure.
The aim of this study is to proceed to an extensive validation study of the simplified testing procedure. Kinematic measurements will be carried out with four groups of patients presenting with frequent shoulder conditions (rotator cuff condition, shoulder instability, diaphyseal or subcapital humerus fracture, frozen shoulder) and a group of healthy people. Measurement procedure includes two consecutive measurements, alternatively conducted by two evaluators and measured simultaneously by two different movement analysis systems. Currently used functional questionnaires will be completed at both stages for comparison. Measurement will be performed at baseline and 6 months later.
Statistical analysis will address reproducibility, responsiveness, minimal clinically important difference and correlation with current clinical scores.
|Study Type :
|Actual Enrollment :
|108 participants
|Observational Model:
|Time Perspective:
|Official Title:
|Validation of a Kinematic Functional Shoulder Score Including Only Essential Movements
|Study Start Date :
|August 2011
|Actual Primary Completion Date :
|December 2013
|Actual Study Completion Date :
|May 2014
Healthy volunteers
Healthy volunteers, less than 35 years old and presenting with no shoulder condition
Patients with rotator cuff condition
Patients with rotator cuff condition, conservative treatment indicated
Patients with shoulder instability
Patients with shoulder instability, conservative treatment indicated
Patients with proximal humerus fracture
Patients with diaphyseal humerus fracture or subcapital humerus fracture treated surgically or conservatively, at 6 weeks post stabilization. (Surgical and conservative treatment will be considered as the same population from the functional point of view as functional outcome is similar) (Handoll et al. 2003).
Patients with frozen shoulder
Patients with frozen shoulder, conservative treatment indicated
- Kinematic functional score [ Time Frame: Baseline ]The kinematic functional score will be determined as the percentage of power of the pathological shoulder compared to the healthy shoulder (e.g. 70% means that the power developed during the movement of the pathological shoulder reaches 70% of the power developed on the healthy side)
- Changes in kinematic functional shoulder scores [ Time Frame: Change from Baseline in kinematic functional shoulder scores at 6 months ]Aforementioned score will be measured again 6 months after baseline to evaluate its responsiveness to patients' evolution
- Functional scores as determined by several currently used shoulder scores [ Time Frame: Baseline ]Questionnaires include Constant score, Quick DASH, subjective shoulder value, Simple shoulder test, WOSI (Western Ontario Shoulder Instability Index; when relevant i.e. for shoulder instability), stiffness and pain EVA
- Changes in functional shoulder scores [ Time Frame: Change from Baseline in functional shoulder scores at 6 months ]All aforementioned scores will be measured again 6 months after baseline to compare their respective responsiveness to patients' evolution
Choosing to participate in a study is an important personal decision. Talk with your doctor and family members or friends about deciding to join a study. To learn more about this study, you or your doctor may contact the study research staff using the contacts provided below. For general information, Learn About Clinical Studies.
|Ages Eligible for Study:
|18 Years and older (Adult, Older Adult)
|Sexes Eligible for Study:
|Accepts Healthy Volunteers:
|Sampling Method:
|Non-Probability Sample
Inclusion Criteria:
- Rotator cuff condition, conservative treatment indicated
- Shoulder instability, conservative treatment indicated
- Diaphyseal humerus fracture or subcapital humerus fracture treated surgically or conservatively, at 6 weeks post stabilization. (Surgical and conservative treatment will be considered as the same population from the functional point of view as functional outcome is similar) (Handoll et al. 2003).
- Frozen shoulder, conservative treatment indicated
Exclusion Criteria:
- Bilateral shoulder condition or other shoulder condition than the ones mentioned in inclusion criteria
- Any concomitant pain or condition involving upper limb
- Cervical spine condition involving upper limb pain or mobility restriction
- Insufficient French language level to understand patient information form, consent form or questionnaires
- Insufficient ability to give truly informed consent or to understand questionnaires. It will be proceeded to a Mini Mental State score in case of uncertainty, with exclusion criteria at 24 points/30 (ANAES 2000).
- Medical contraindication to execute movements required for score completion
- Tumor
- Neurological condition interfering with test
To learn more about this study, you or your doctor may contact the study research staff using the contact information provided by the sponsor.
Please refer to this study by its ClinicalTrials.gov identifier (NCT number): NCT01431417
|Département de l'Appareil Locomoteur - CHUV
|Lausanne, Switzerland, 1005
|Study Director:
|Claude A. Pichonnaz, PT MSc
|HESAV and University Hospital of Lausanne
|Study Chair:
|Farron Alain, MER PD
|University of Lausanne Hospitals
Additional Information:
|Responsible Party:
|Haute Ecole de Santé Vaud
|ClinicalTrials.gov Identifier:
|NCT01431417 History of Changes
|Other Study ID Numbers:
|First Posted:
|September 9, 2011 Key Record Dates
|Last Update Posted:
|June 4, 2015
|Last Verified:
|June 2015
Outcome treatment
Validation Studies as topic
Shoulder, Joint Instability
Joint Instability
Joint Diseases
Musculoskeletal Diseases


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Uganda Gay Death Bill Denounced In U.K. Demo
Some critics contend that corrupt government officials, who routinely embezzle millions of dollars from the public coffers, were more deserving of the harsh sentences being considered for homosexuals.
[Global: Africa]
Outrage against the now shelved Uganda proposed Bill calling for the death penalty for homosexuals continues with protests in London yesterday.
Uganda's parliament was considering the Bill which would make "serial homosexual" acts punishable by execution. People who failed to "out" homosexuals to the authorities were to also be punished with three years imprisonment under the proposed law. Ugandans who live abroad, who broke the anti-homosexuality laws were to be subject to extradition requests.
The Bill was sponsored by a lawmaker from Yoweri Museveni's ruling National Resistance Movement (NRM), bringing swift condemnation from around the world with donor countries threatening a cutoff of aid to the government there.
Yesterday, more than 100 activists converged on the East African country's High Commission, which is the equivalent of an embassy, in London.
The Bill was backed by many religious leaders --Muslim and Christian-- in the socially conservative country where a recent poll found the vast majority opposed to legalizing homosexuality.
Critics contend that corrupt government officials, who routinely embezzle millions of dollars from the public coffers, were more deserving of the harsh sentences being considered for homosexuals. Human rights campaigners say the Uganda government was promoting witch-hunts.
The London demonstration was organized by the Gay Activists Alliance International (GAAI), with the support of Gay Uganda, Sexual Minorities Uganda and OutRage!
Ugandan John Bosco Nyombi, a gay Ugandan, denounced the measures. Nyombi previously was forcefully returned to Uganda from the U.K. and was jailed while in Uganda. He recently was granted asylum in the U.K.
He said the Anti-Homosexuality Bill was "an attack on the civil liberties of all Ugandan," denouncing it as "dividing Ugandans against each other and requiring people to report on their own family members who are gay."
"In the last five years we have seen Idi Amin returning to Uganda and his name is Yoweri Museveni," he said. "We cannot allow fascism to return to Uganda. He should leave power and go because he is not taking the country anywhere but to disaster."
A known well activist, Peter Tatchell, of Outrage! who once tried to serve an arrest warrant on Zimbabwe's Robert Mugabe while he was in London, said: "President Museveni is fast becoming the Robert Mugabe of Uganda and that's a threat to the civil rights of every Ugandan person-gay or straight." He added: "Even people who say they're against homosexuality say this Bill is excessive and a threat to human rights of all Ugandans."
The London protests included LGBTI activists from the UK and of Jamaican descent, plus LGBTI campaigners from Uganda, Zimbabwe, South Africa, Cameroon, Nigeria, the Congo and Kenya.
Videos from The London protest
Skye Chirape - Zimbabwean lesbian activist
Rev Rowland Jide Macaulay – Nigerian gay pastor
Godwyns Onwuchekwa – Nigerian LGBT activist
Topher Campbell - Black gay activist, Rukus Foundation
Peter Tatchell 1/2 - OutRage! gay activist
Peter Tatchell 2/2 - OutRage! gay activist
Terry Conway – Lesbian trade union activist
John Bosco – Gay Ugandan
Michael Senyonjo – Ugandan human rights activist
Black Star News correspondent Miwambo writes from Europe and can be reached at firstname.lastname@example.com
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Social Research Interviewers
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- 29 Mar 2018
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- Charities, Social welfare, General, Marketing & PR, Communications, Market research, Marketing analytics
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Social Research Interviewers - NatCen Social Research
Do you want to improve the society we live in? Are you interested in helping to understand the characteristics and circumstances of the British people on a whole range of issues including Brexit, health, education and transport?
At NatCen Social Research we aim to make a difference to Government policy and therefore improve the society we live in.
We are looking for positive and self-motivated face to face interviewers to work on social surveys. You'll conduct interviews in the homes of selected respondents on behalf of Government Departments as well as working on diverse UK studies covering a whole range of important topics.
What we can offer:
* High quality initial training with ongoing support
* Flexible working hours - you need to be available for a minimum of 20 hours per week including weekdays/evening and weekends
* Competitive rates of pay, including a bonus scheme, travel expenses and holiday pay
* A local mentor to support you
* Opportunity for progression
* Opportunities to develop your skills and work on a wide variety of surveys
What you can offer:
* Internet broadband at home
* Able to work at least 6 hours a day, including evenings and weekends, for at least 3+ days a week
* Use of a car is essential
* Documents to verify your identity and to show you're eligible to work in the UK
* Comfortable with using computer equipment
To continue your application, please click 'Apply' below and ensure you include a valid email address as further details will be sent.


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Our Approach
Our success is based on our innovative approach to training in the Pilates Method. Building upon the comprehensive curriculum, our team of experienced tutors ensures that students have the benefit of a varied range of teaching styles built around the core curriculum. This has led to Body Control Pilates developing an unrivalled reputation for the quality of its course and the knowledge and competence of its graduate teachers.
This way of training immediately avoids the potential problems associated with the historical 'apprenticeship' method of training in Pilates, whereby a student works with one teacher in one studio for a period of one to two years - their training thus directly reflecting the strengths and weaknesses of that particular teacher.
By enabling students to train initially in matwork, Body Control Pilates has segmented its overall training programme into realistic - and affordable - stages. Students who wish to eventually train in machine work may do so after gaining their Matwork Certificate and will then have the added benefit of being able to use actual teaching experience as a foundation in their further training.
Whilst our course tuition is based in London or Edinburgh, we have a number of Regional Coordinators based around the UK whose role is to support students on a local basis and help them progress through the course. A national network of supervising teachers ensures that most students can undertake much of their practical (supervised teaching) work closer to home.
Student Selection
From the outset, the mission of Body Control Pilates has been to bring the benefits of Pilates to everyone. We therefore recognise that excellent teachers can come from a wide variety of backgrounds and we do not define strictly laid-down selection criteria for those wishing to train, beyond asking that, ideally, all applicants have had the direct experience of regularly attending Pilates classes or sessions with a Body Control Pilates teacher for approximately six months prior to commencing a course.
We recognise that this is not the case for everyone wanting to train so, if you have been taking regular Pilates classes with a teacher who did not train with Body Control Pilates, we will ask that you come and see one of senior teaching staff for a 1:1 session– this will give us an opportunity to assess your suitability for the course and for an eventual Pilates teaching career and give you the chance to ask any questions. An offer of a place will generally be conditional on the student undertaking regular Pilates classes or occasional workshops during the period between an offer being made and the course start date. We reserve the right to decline an application.
If, after starting a course, our teaching staff feel that a student is making unsatisfactory progress or is struggling to take on board the fundamentals of the method, we reserve the right to ask them, after due consultation, to discontinue their participation in the course. We hold this policy to be in the best interests of both parties. This is covered in our Terms and Conditions.
Course Structure
A course will typically have a maximum of 12 students (this may vary for operational reasons). The period of time between a student starting the matwork course and gaining Certification is open-ended (maximum time period for completion is two years). A student is 'signed off' once they have met all the requirements of the course.
The key elements of the Body Control Pilates matwork course are:
comprising thirteen days of modules. There is a strong practical element to these days. Matwork courses run in two formats:
Intensive, wherein the tuition element is taken in two blocks of six and seven days, interspersed with typically a three-week break;
Extended, wherein the tuition element is taken in two-day blocks (typically Saturdays and Sundays) spread over a three to four month period.
Our matwork course curriculum is broken down into a series of tuition modules covering topics on both a theoretical and practical basis, along with anatomy as relevant:
- Introductory Day (Including: the legacy of Joseph Pilates; the development of Body Control Pilates; what is Pilates?; movement and posture review; the theory of muscle balancing; key principles)
- Neutral Pelvis and Spine; The Spine
- Breathing; Concentration, Release and Relaxation
- Core Stability: Lumbar and Pelvic Stability
- Core Stability: Scapular Stability
- Joints and the Hip; the Knee
- Ankles and Feet; Elbows, Wrists and Hands, Working with Weights
- Posture and Alignment; Stretching
- Classical Pilates Exercises
- Client Enrolment; Client Assessment; Designing Client Programmes; Client Progression
- Lesson Plans and Teaching Skills
- Anatomy Review
- Last Tuition Day (Including: Completing the Course; Establishing Your Business Setting Up Classes; good practice; Client Care; Planning Your Career)
Practical Assessment
A one-hour assessment where students demonstrate their knowledge of the core exercises before beginning their supervised teaching period.
Supervised Teaching
The opportunity for students to learn and refine their practical teaching skills. This period commences after the end of the formal tuition sessions, and involves students assisting in classes, workshops or studios - and eventually teaching clients whilst under supervision. Body Control Pilates has a network of supervising teachers around the UK. This period is open-ended (typically 50 hours) and students receive a 'sign-off' when a senior supervising teacher considers that they are ready - at that point, students are ready to teach their final Assessment Class.
Lesson Plans and Assessment Class
Students must plan a series of six progressive Lesson Plans for a group matwork class and deliver all or part of one of these under assessment in order to receive their final certification.
Written Examination
All students must pass two written exams (multiple choice) set by Active IQ, the Awarding Body for this course. One exam relates to anatomy and physiology, the other to Principles of Fitness. Questions are based on materials provided.
Students will additionally be required to answer two open essay questions demonstrating knowledge of key Body Control Pilates concepts and principles - these can be submitted at any time, whilst the written exam can be taken on any one of the several pre-published dates each year.
Students are also given material to study on a 'directed learning' basis, including elements related to health and safety, as required by the Level 3 national standard. Questions related to the content of this must be answered and submitted by the student before they can gain certification. Students who already hold a Level 3 certification in another discipline may be exempt from parts of this element.
Upon graduation, students are awarded a Certificate in Body Control Pilates Matwork and are eligible to become a member of both the Body Control Pilates Association (see below) and the UK Register of Exercise Professionals ('Level 3: Pilates Teacher'). They will also receive a Level 3 Pilates certification from Active IQ, our Awarding Body.
Student Commitment
By joining a course, each student is deemed to have accepted the guiding principle that, unless they hold a prior, recognised qualification to teach Pilates, they will not teach Pilates classes on a paid basis until they gain full certification. Under no circumstances, may a student offer Body Control Pilates classes until after they have gained certification.
Body Control Pilates course management reserves the right to ask a student who breaches this principle to leave the course with immediate effect. Students are, however, encouraged to practise teaching exercises, without payment, to family and friends as long as they are aware that the student is not yet qualified.
Continuing Education and Training
For many training providers, certification is the end of a process, the end of their relationship with the student. For Body Control Pilates, it is just the beginning ... We are committed to providing our teachers with unrivalled educational opportunities and business support throughout their teaching career.
Upon gaining your certification as a Body Control Pilates teacher and on joining our Association, you become part of a community of teachers who are committed to expanding their knowledge and to continually improving the quality of their teaching – a community which regards teaching Pilates as a vocation, not as an 'add-on' to personal training or gym teaching.
We believe that Pilates can only be taught safely and effectively by teachers who have undertaken a specialist Pilates teacher training programme, who know how to properly assess clients and adapt exercises and programmes, and who then continue their learning and self-practice on an ongoing basis. The gaining of knowledge with regard to relevant medical research, advanced techniques, new exercises and, at the very least, talking and exchanging ideas with other teachers is a vital part of the professional development process.
As a Body Control Pilates teacher, we help you in that process by offering a unique programme of courses, workshops and conferences led by experienced Body Control Pilates tutors and by recognised Pilates experts from around the world. Courses open to you once you have gained your matwork certification include:
- Intermediate Matwork
- Advanced (Classical) Matwork
- Reformer (two levels)
- Cadillac (three levels)
- Chair and Barrels
- Comprehensive and Master Studio Certifications (Reformer, Cadillac, Barrel, Chair)
- Pilates & Pregnancy
- Pilates & Osteoporosis
- Pilates & Scoliosis
- Pilates for the Older Person
- Pilates on the Ball
- Pilates on the Foam Roller
- Pilates with the Band
- Pilates with the Small Ball & Toning Circle
- Standing Pilates
- Level 4 Low Back Pain (REPs Specialist Exercise Instructor)
- Pilates for Performance
- Pilates for Golfers
- Pilates for Runners
- Pilates for Dancers
- Pilates for Equestrians (2017)
- Understanding Medical Conditions
- Level 3 Exercise Referral for Pilates Teachers
Whether your goal is just to teach matwork, to become a studio teacher or to own your own studio, we can provide you, as a Body Control Pilates teacher, with a programme of educational courses and development workshops that will help you achieve your objectives.
The Body Control Pilates Association
Upon certification, you will be invited to join the Body Control Pilates Association (BCPA), Europe's largest professional Pilates organisation with 1,400 teaching members. All subscribe to a Code of Practice that governs professional ethics, teaching standards, class size (maximum twelve participants) and ongoing professional development. The BCPA provides a range of services for members and actively promotes their contact details. Teachers are only allowed to use the Body Control Pilates trademark in connection with their classes if they are a member of the BCPA and sign a licence agreement.