Saturday, August 20, 2016

Diabetes - An Overview


The number of people with diabetes has nearly quadrupled since 1980.

About 422 million people worldwide have diabetes, a number likely to more than double in the next 20 years.
The prevalence of diabetes has been steadily increasing for the past 3 decades, mirroring an increase in the prevalence of obesity and overweight people.  In particular, the prevalence of diabetes is growing most rapidly in low- and middle-income countries.

In 2012, diabetes was the direct cause of 1.5 million deaths. More than 80% of diabetes deaths occur in low- and middle-income countries.  

In 2014, 8.5% of adults aged 18 years and older had diabetes.

Type 2 accounts for around 90% of all diabetes worldwide. Reports of type 2 diabetes in children have increased worldwide.



Diabetes, Infographic, WHO
Source: WHO


Key Facts

  • The number of people with diabetes has risen from 108 million in 1980 to 422 million in 2014.
  • The global prevalence of diabetes* among adults over 18 years of age has risen from 4.7% in 1980 to 8.5% in 2014.
  • Diabetes prevalence has been rising more rapidly in middle- and low-income countries.
  • Diabetes is a major cause of blindness, kidney failure, heart attacks, stroke and lower limb amputation.
  • In 2012, an estimated 1.5 million deaths were directly caused by diabetes and another 2.2 million deaths were attributable to high blood glucose**.
  • Almost half of all deaths attributable to high blood glucose occur before the age of 70 years. WHO projects that diabetes will be the 7th leading cause of death in 2030.
  • Healthy diet, regular physical activity, maintaining a normal body weight and avoiding tobacco use are ways to prevent or delay the onset of type 2 diabetes.
  • Diabetes can be treated and its consequences avoided or delayed with diet, physical activity, medication and regular screening and treatment for complications.
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* Defined as fasting blood glucose equal to or higher than mmol/L, or on medication for raised blood glucose, or with a history of diagnosis of diabetes.
** High blood glucose is defined as a distribution of fasting plasma glucose in a population that is higher than the theoretical distribution that would minimize risks to health (derived from epidemiological studies). High blood glucose is a statistical concept, not a clinical or diagnostic category.
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Diabetes, Infographic, CDC
Source: CDC

 

Definition

Diabetes is a chronic disease, which occurs when the pancreas does not produce enough insulin, or when the body cannot effectively use the insulin it produces. This leads to an increased concentration of glucose in the blood (hyperglycaemia).

Insulin is a hormone that regulates blood sugar. Hyperglycaemia, or raised blood sugar, is a common effect of uncontrolled diabetes and over time leads to serious damage to many of the body's systems, especially the nerves and blood vessels.

Diabetes Consequences

Over time, diabetes can damage the heart, blood vessels, eyes, kidneys, and nerves:
  • Adults with diabetes have a 2-3-fold increased risk of heart attacks and strokes.
  • Combined with reduced blood flow, neuropathy (nerve damage) in the feet increases the chance of foot ulcers, infection and eventual need for limb amputation.
  • Diabetic retinopathy is an important cause of blindness, and occurs as a result of long-term accumulated damage to the small blood vessels in the retina. 2.6% of global blindness can be attributed to diabetes.
  • Diabetes is among the leading causes of kidney failure.

Diagnosis and Treatment

Early diagnosis can be accomplished through relatively inexpensive testing of blood sugar.

Treatment of diabetes involves diet and physical activity along with lowering blood glucose and the levels of other known risk factors that damage blood vessels. Tobacco use cessation is also important to avoid complications.

Interventions that are both cost-saving and feasible in developing countries include:
  • blood glucose control, particularly in type 1 diabetes. People with type 1 diabetes require insulin, people with type 2 diabetes can be treated with oral medication, but may also require insulin;
  • blood pressure control; and
  • foot care.
Other cost saving interventions include:
  • screening and treatment for retinopathy (which causes blindness);
  • blood lipid control (to regulate cholesterol levels);
  • screening for early signs of diabetes-related kidney disease and treatment.


Source: WHO



Type 1 Diabetes

Type 1 diabetes (previously known as insulin-dependent or childhood-onset diabetes) is characterized by a lack of insulin production and requires daily administration of insulin. The cause of type 1 diabetes is not known and it is not preventable with current knowledge.

Symptoms include excessive excretion of urine (polyuria), thirst (polydipsia), constant hunger, weight loss, vision changes and fatigue. These symptoms may occur suddenly.




Diabetes, Visual Guide, WebMD
Source: WebMD


When you have type 1 diabetes, your pancreas can’t make insulin. This vital hormone helps your body's cells convert sugar into energy. Without it, sugar builds up in your blood and can reach dangerous levels. To avoid life-threatening complications, people with type 1 diabetes must take insulin for their entire lives.

Early Warning Signs

The symptoms of type 1 diabetes tend to come on suddenly and may include:
  • Feeling more thirsty than usual
  • Dry mouth
  • Fruity breath
  • Peeing a lot


Later Red Flags

As blood sugar levels remain high, type 1 diabetes often leads to:
  • Weight loss
  • Bigger appetite
  • Lack of energy, drowsiness


Skin Problems

Many people with type 1 diabetes get uncomfortable skin conditions, including:
  • Bacterial infections
  • Fungal infections
  • Itching, dry skin, poor circulation 
Girls with type 1 diabetes are more likely to have genital yeast infections. Babies can get candidiasis, a severe form of diaper rash caused by yeast. It can easily spread from the diaper area to the thighs and stomach.

Dangerous Complications

When blood sugar isn't controlled, type 1 diabetes can cause more serious symptoms, like:
  • Numbness or tingling in the feet
  • Blurred vision
  • Low blood sugar (called hypoglycemia)
  • Passing out
If your blood sugar gets too high or too low, you could go into a diabetic coma. You may not have any warning signs before this happens. You will need to get emergency treatment.

Ketones and Ketoacidosis

Without treatment, type 1 diabetes deprives your cells of the sugar they need for energy. Your body starts burning fat instead, which causes ketones to build up in the blood. These are acids that can poison your body. This plus other changes in your blood can trigger a life-threatening condition called diabetic ketoacidosis. This is an emergency that must be treated quickly. You may need to go to the ER.

Type 1 vs. Type 2 Diabetes

In type 1 diabetes, your immune system destroys cells in your pancreas that make insulin. In type 2 diabetes, the pancreas isn’t under attack. It usually makes enough insulin. But your body doesn’t use it well. The symptoms of the two forms are similar, but usually come on more quickly in people with type 1.



Diabetes, Visual Guide, WebMD
Source: WebMD


What Causes It?

Doctors aren't sure what makes your immune system attack the pancreas. Scientists have found 50 genes or gene regions that make you more likely to get type 1 diabetes. But that alone doesn’t mean you will. Some researchers believe that environmental triggers also play a role. These could include a virus or things that happen to your body during pregnancy.

Who Gets It?

Type 1 diabetes can happen at any point in life. But it's mostly diagnosed before the age of 19. It affects boys and girls equally, but it's more common in whites than in other ethnic groups. According to the World Health Organization, type 1 diabetes is rare in most African, Native American, and Asian people.

How Is It Diagnosed?

Your doctor will probably check your fasting blood sugar or he may do a random blood sugar test. He could also get your A1c level, which shows average blood sugar readings for the past 2-3 months. The tests should be repeated on 2 separate days. A more complex glucose tolerance test could also help him make the call.

Long-Term Problems

Having high blood sugar for a long time can damage many of your body's systems. Type 1 diabetes can make you more likely to have:
  • Heart disease and stroke
  • Kidney failure
  • Blindness or other problems seeing
  • Gum disease and tooth loss
  • Nerve damage in the hands, feet, and organs

Exercise With Caution

You need to get some physical activity, but be careful when you do it. To prevent a sudden drop in blood sugar, your doctor may tell you to do these things before you exercise:
  • Check your blood sugar
  • Adjust your insulin dose
  • Eat a snack
He may also suggest checking your pee for ketones, a sign that your blood sugar is too high. Avoid hard exercise when they are present.

Should You Get Pregnant?

Let your doctor know if you plan to have a baby. If your diabetes isn’t well controlled, it can cause complications, including birth defects. Good control of blood sugar before you get pregnant lowers your odds for these problems and for miscarriage. Your risk of eye damage and dangerous spikes in blood pressure will go down, too.

 
Diabetes, Infographic, Children's Hospital, Los Angeles
Source: Children's Hospital, Los Angeles

Type 2 Diabetes

Type 2 diabetes (formerly called non-insulin-dependent or adult-onset diabetes) is caused by the body’s ineffective use of insulin. It often results from excess body weight and physical inactivity.  Type 2 diabetes comprises the majority of people with diabetes around the world.

Symptoms may be similar to those of Type 1 diabetes, but are often less marked. As a result, the disease may be diagnosed several years after onset, once complications have already arisen.

When you have this disease, your body does a poor job turning the carbohydrates in food into energy. This causes sugar to build up in your blood. Over time it raises your risk for heart disease, blindness, nerve and organ damage, and other serious conditions. It strikes people of all ages, and early symptoms are mild. About 1 out of 3 people with type 2 diabetes don't know they have it. 

What Will You Notice First?

People with type 2 diabetes often have no symptoms. When they do appear, one of the first may be being thirsty a lot. Others include dry mouth, bigger appetite, peeing a lot -- sometimes as often as every hour -- and unusual weight loss or gain.

Later Symptoms

As your blood sugar levels get higher, you may have other problems like headaches, blurred vision, and fatigue.

Signs of Serious Problems

In many cases, type 2 diabetes isn't discovered until it takes a serious toll on your health. Some red flags include:
Cuts or sores that are slow to heal
  • Cuts or sores that are slow to heal
  • Frequent yeast infections or urinary tract infections
  • Itchy skin, especially in the groin area


It Can Affect Your Sex Life

Diabetes can damage blood vessels and nerves in your genitals. This could lead to a loss of feeling and make it hard to have an orgasm. Women are also prone to vaginal dryness. About 1 in 3 who have diabetes will have some form of sexual trouble. Between 35% and 70% of men who have the disease will have at least some degree of impotence in their lifetime.

Risk Factors You Can Control

Some health habits and medical conditions related to your lifestyle can raise your odds of having type 2 diabetes, including:
Being overweight, especially at the waist
  • Being overweight, especially at the waist
  • A couch potato lifestyle
  • Smoking
  • Eating a lot of red meat, processed meat, high-fat dairy products, and sweets
  • Unhealthy cholesterol and triglyceride levels 

Risk Factors You Can't Control

Other risk factors are out of your control, including:
  • Race or ethnicity: Hispanics, African-Americans, Native Americans, and Asians are more likely to get it
  • Family history of diabetes: Having a parent or sibling with diabetes boosts your odds.
  • Age: Being 45 and older raises your risk of type 2 diabetes.

The more risk factors you have, the more likely you'll get type 2 diabetes.

Risk Factors for Women

You're more likely to get type 2 diabetes later on if you:

  • Had gestational diabetes when you were pregnant
  • Delivered a baby that weighed over 9 pounds
  • Had polycystic ovary syndrome

How Does Insulin Work?

In a healthy person, insulin helps turn food into energy. Your stomach breaks down carbohydrates into sugars. They enter the bloodstream, prompting your pancreas to release the hormone insulin in just the right amount. It helps your cells use the sugar for fuel.

Metabolism Mishaps

In type 2 diabetes, your cells can’t use sugar properly. That means there's a lot of it in your blood. If you have a condition called insulin resistance, your body makes the hormone, but your cells don’t use it or respond to it like they should. If you’ve had type 2 diabetes for a while but haven’t treated it, your pancreas will make less insulin.

How Is It Diagnosed?

Your doctor will take some blood and do an A1c test. It shows your average blood sugar level over the past 2-3 months. If you already have symptoms, he might give you a random blood glucose test, which shows what your current level is.

Your Diet Makes a Difference

You can control blood sugar levels by changing your diet and losing extra weight. That will also cut your risk of complications. Carefully track the carbs in your diet. Keep amounts the same at every meal, watch how much fat and protein you eat, and cut calories. Ask your doctor to refer you to a dietitian to help you make healthy choices and an eating plan.

Exercise Is Important

Regular exercise, like strength training or walking, improves your body's use of insulin and can lower blood sugar levels. Being active also helps get rid of body fat, lower blood pressure, and protect you from heart disease. Try to get 30 minutes of moderate activity on most days of the week.

Relaxation Is Key

Stress can boost your blood pressure and blood sugar. Some people don't do anything for it. Others turn to food to cope with it. Instead, practice relaxation techniques like deep breathing, meditation, or visualization. Talking to a friend, family member, counselor, or a religious leader could help. If you can’t beat it, reach out to your doctor.

Heart and Artery Troubles

If you don't treat diabetes with a healthy diet and exercise, you're more likely to  get plaque in your arteries than people who don't have it. This sticky substance slows blood flow and increases your risk of clots. It leads to hardening of the arteries (called atherosclerosis), which makes you more likely to have a heart attack or stroke. About 2 of 3 people with diabetes die of heart disease.

Check out our article about Heart Disease

Kidney Complications

The longer you have diabetes, the greater the chance you’ll get chronic kidney disease. Diabetes is the leading cause of kidney failure. It's to blame for about half of new cases. Controlling your blood sugar, blood pressure, and cholesterol can lower your risk for this complication. Yearly tests and medications can slow the disease and keep your kidneys healthy.

Eye Problems

High blood sugar can damage the tiny blood vessels that bring oxygen and nutrients to the retina, a critical part of your eye. This is known as diabetic retinopathy, and it can lead to vision loss. It’s the leading cause of new cases of blindness in people between the ages of 20 and 74. Pools of blood, or hemorrhages, on the retina of an eye are visible in this image.

Diabetic Nerve Pain

Over time, uncontrolled diabetes and high blood sugar can cause nerve damage.  Symptoms include tingling, numbness, pain, and a pins and needles sensation -- often in your fingers, hands, toes, or feet. The damage can’t be reversed, but there are treatments. Controlling your diabetes can help prevent further harm.

Foot Injuries Can Take a Toll

Diabetic nerve damage can make it hard to feel your feet. You might not notice wounds. At the same time, hardening of the arteries reduces blood flow to the area. Even a small injury can cause foot sores and gangrene. In severe cases, infections can result in an amputation.

Teeth and Gums Are Targets

High blood sugar levels can feed the bacteria that make plaque. Plaque buildup leads to cavities, tooth decay, and gum disease. Severe gum disease can cause tooth loss. It weakens gums and the tissues and bones that hold teeth in place. That makes it easier to get an infection, too.

Can It Be Prevented?

One of the most surprising things about type 2 diabetes is that you can avoid it.  Simple lifestyle measures have been shown to be effective in preventing or delaying the onset of type 2 diabetes. 

To help prevent type 2 diabetes and its complications, people should:
  • achieve and maintain healthy body weight;
  • be physically active – at least 30 minutes of regular, moderate-intensity activity on most days. More activity is required for weight control;
  • eat a healthy diet, avoiding sugar and saturated fats intake; and avoid tobacco use – smoking increases the risk of diabetes and cardiovascular diseases. 
  • Talk to your doctor about being tested for prediabetes.
People with prediabetes can avoid getting diabetes with lifestyle changes and medication.




Diabetes, Infographic, CDC
Source: CDC


Until recently, this type of diabetes was seen only in adults but it is now also occurring increasingly frequently in children.



Diabetes, Infographic, Children's Hospital, Los Angeles
Source: Children's Hospital, Los Angeles

 

Gestational Diabetes

Gestational diabetes is hyperglycaemia that is first recognized during pregnancy. 

Gestational diabetes is hyperglycaemia with blood glucose values above normal but below those diagnostic of diabetes, occurring during pregnancy. Women with gestational diabetes are at an increased risk of complications during pregnancy and at delivery. 

They and their children are also at increased risk of type 2 diabetes in the future.

Gestational diabetes is diagnosed through prenatal screening, rather than through reported symptoms. 



Impaired glucose tolerance and impaired fasting glycaemia

Impaired glucose tolerance (IGT) and impaired fasting glycaemia (IFG) are intermediate conditions in the transition between normality and diabetes. People with IGT or IFG are at high risk of progressing to type 2 diabetes, although this is not inevitable.






Source: WHO


WHO designed these posters for use around the world during this year's World Health Day on 7 April. The campaign will focus on the rising tide of diabetes worldwide.

Halt the rise

More and more people are getting diabetes around the world. The increase is in great part driven by rising levels of overweight and obesity and physical inactivity, including among children.


World Health Day 2016, Poster, WHO
Souces: WHO

Be active

Being physically active – through at least 30 minutes of regular, moderate-intensity activity on most days – can help prevent Type 2 diabetes and its complications, as well as help people to better manage Type 1 and Type 2 diabetes if they have it.


World Health Day 2016, Poster, WHO
Souces: WHO

Eat healthy

A healthy diet high in fruits and vegetables and low in sugar and saturated fats can help prevent Type 2 diabetes, and also help people to manage Type 1 and Type 2 diabetes if they have it.


World Health Day 2016, Poster, WHO
Souces: WHO

If in doubt, check!

Symptoms for diabetes include thirst, hunger, weight loss, fatigue and blurred vision. However, many people who have diabetes do not have symptoms. If people think they might have the disease, consulting a health-care professional is recommended.


World Health Day 2016, Poster, WHO
Souces: WHO

Follow medical advise

A range of treatments exists to manage diabetes and control blood glucose, including through eating healthy, being active, taking prescribed medication, controlling blood pressure, and avoiding tobacco use. People with diabetes can live well if they follow a treatment plan developed together with their health-care provider.


World Health Day 2016, Poster, WHO
Souces: WHO

World Health Day 2016, Poster, WHO
Souces: WHO

World Health Day 2016, Poster, WHO
Souces: WHO
     


You could download the poster in high resolution from the following link below:




 Source: WHO


For More...

You could read about Global report on diabetes here.

You could also read about Diabetes country profiles 2016 and check your country profile here.




Diabetes, Infographic, CDC
Source: CDC






Let's take the diabetes quiz to test your knowledge about diabetes.
Is one quiz not enough? Here is another one for you to test about Myths and Facts About Type 2 Diabetes




Sources:



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  20. WHAT A GREAT MIRACLE THAT I HAVE EVER SEE IN MY LIFE. My names are Clara David I’m a citizen of USA, My younger sister was sicking of
    breast cancer and her name is Sandra David I and my family have taking her
    to all kind of hospital in USA still yet no good result. I decided to go to
    the internet and search for cancer cure so that was how I find a lady
    called peter Lizzy she was testifies to the world about the goodness of a
    herbal man who has the roots and herbs to cure all kind of disease and the
    herbal man email was there. So I decided to contact the herbal man @herbalist_sakura for my younger sister help to cure her breast cancer. I contacted him and told him
    my problem he told me that I should not worry that my sister cancer will be
    cure, he told me that there is a medicine that he is going to give me that
    I will cook it and give it to my sister to drink for one week, so I ask how
    can I receive the cure that I am in USA, he told me
    That I will pay for the delivery service. The courier service can
    transport it to me so he told me the amount I will pay, so my dad paid for
    the delivery fee. two days later I receive the cure from the courier
    service so I used it as the herbal man instructed me to, before the week
    complete my sister cancer was healed and it was like a dream to me not
    knowing that it was physical I and my family were very happy about the
    miracle of Doctor so my dad wanted to pay him 5 million us dollars the
    herbal man did not accept the offer from my dad, but I don't know why he
    didn't accept the offer, he only say that I should tell the world about him
    and his miracle he perform so am now here to tell the world about him if
    you or your relative is having any kind of disease that you can't get from
    the hospital please contact dr.sakuraspellalter@gmail.com or whats app him
    +2348110114739  you can follow him up on Instagram @herbalist_sakura for the cure, he will help you out with the
    problem. And if you need more information about the doctor you can mail me
    davidclara223@gmail.com 

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  21. My name is Donald Boykins, I'm here to appreciate Dr Akhigbe for using his herbal medicine to cure my herpes virus. Is about 3 years and 6 months now I have been living with this virus and it have really really be a serious problem to me, I was so confused cause I have been taking several drugs to be cure but all of my effort was in vain, one morning was browsing through the internet then I saw several testimonies about Dr Akhigbe curing people from herpes virus and Immediately I contacted Dr Akhigbe on his email:  drrealakhigbe@gmail.com. I told him about my troubles and he told me that I must be cured. He gave me instructions and which I rightly followed, so he prepared a herbal medicine and sent it to me which I used for three weeks and I was cured totally everything was like a dream to me and my herpes was permanently gone. Dr Akhigbe God bless you and give you the power and wisdom for more cure, I don't know if there is any one out there suffering for herpes virus or any other of there diseases. DIABETES, CANCER, HIV/AIDS, HERPES, HEPATITIS A&B, HEART DISEASES, CHRONIC DISEASES,  YELLO FEVER, EPILEPSY, LUPUS, STRIKE, SPINAL CORD, ECZEMA, KIDNEY DISEASES, ACME, BACK PAIN,   DENGUE SCHIZOPHRENIA, POLIO,MULTIPLES SCLEROSIS, HIGH BLOOD PRESSURE, VAGINAL  DISCHARGETHYROID, ARTHRITIS, MENINGITIS.etcWhy don't you contact Doctor Akhigbe and be free from your diseases because he is very good and honest herbalist doctor, he is also know as the godfather of herbal root. Contact him now via his email:   drrealakhigbe@gmail.com         or whatsapp   him on     +2349010754824.         website https:drrealakhigbe.weebly.com.   

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  23. Thanks for sharing very useful information on diabetes. I think you should write more on this topic.

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  24. Herbs are Natural good remedies for All deadly diseases AND PENIS ENLARGEMENT , the reason why most people are finding it difficult to get a bigger and Erect Penis is because they believe on medical report, drugs and medical treatment, which is not helpful to Enlarge or Erect Penis I am from South Africa, I had Cancer and was told I could die in few Months before I met this Doc ARIBA on the internet, I contacted via email (draribaherbs@gmail.com) and he told me to come over to China, I did go to china to meet him up.. I used these herbs and got cancer cured in 3 Weeks, If you need medicine for HIV/AIDs and other deadly diseases you contact him and get cured. CONTACT:draribaherbs@gmail.com OR WhatsApp: +2348142140432

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  25. Very informative article on Diabetes and Health issues. You may also look at other useful blogs on the subject of Diabetes - Symptoms, Causes and Treatment by Fostr mutispeciality clinic. With advanced care and expert diagnosis to treat diseases, Fostr Healthcare and Diagnostics is the best mutispeciality clinic in Bangalore.
    Thank you

    ReplyDelete
  26. This is a very detailed article on Diabetes issue. Thank you for posting this article.
    Fostr Healthcare Clinic have the Best diabetologist in bangalore for all type 1 and 2 diabetes treatment. With advanced care and expert diagnosis to treat diseases, Fostr Healthcare and Diagnostics is the best mutispeciality clinic in Panathur, Bangalore.

    ReplyDelete
  27. A MUST READ THE HERBALIST WHO CURE MY DAUGHTER FROM DIABETES
    Hello everyone,am sharing this wonderful testimony with a heart full of joy and happiness about how Dr OGODO uses his herbal medicine to cure my daughter from DIABETES.My daughter has been diagnose of DIABETES over three {3} years. i try inasmuch as possible to make sure my only daughter is cured yet all to no avail. Last year january 2019 i have to fly my only daughter to INDIAN for treatment yet no possible result after spending a lot of money and [5] months over there.furthermore i keep searching for another location to make sure my daughter is cure yet i never give up because you know what it takes for your only daughter to be diagnosed of DIABETES and seeing her unhappy everytime and i never stop crying day and night because she is the only one left for me not when i lost his Dad in car accident.to cut the story short,it was my best friend who recommended this herbalist for me saying that she have seeing a lot of testimony on the internet on how Dr OGODO have been curing virus diseases such as [1]HERPES [2]CANCER [3] PENIS ENLARGEMENT [4] HEPATITIS [5]HSV/STD [6]HIV/AIDS [7]HIGH BLOOD PRESSURE [8] CLONE CLEANSING [9]COPD [10] KIDNEY DISEASE [11] GENITAL WART E.T.C immediately i contact him through email and told him what am passing through after some times he reply me and ask for my information which i did.A week later i received the medicine through DHL and he also call me on whatsapp number telling me how to use it then after using as he instructed i took my daughter for check up behold my doctor confirm to me that she is totally fine no more DIABETES i started sharing tears of joy.please and please contact this herbalist Dr for any health challenges via email [Ogodoherbalhomesolution@gmail.com]
    WHATSAPP [+2348124774363}
    https://www.facebook.com/oogoherbalhomesolution/

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  28. Hello everyone, I want to say a special thanks to Dr OGU. for helping me get cured from herpes virus 2019 , I contacted him base on the testimonies I saw about him on the internet I was diagnosed of HERPES Virus i have tried all I can to get cured but all to know avail, until i saw a post in a health forum about a herbal man who prepare herbal medication to cure all kind of diseases including HERPES virus, at first i doubted if it was real but decided to give it a try I was cured by his herbal medicine and natural herbs, kindly contact him today through his email: drogugusolutionhome@gmail.com or text/call: +1 (719) 629 0982

    He’s waiting to help you.


    HE ALSO SPECIALIZE IN THE FOLLOWING Illness;

    If you have any sickness like : H I V/AIDS , CANCER , HERPES HSV 1 or 2 , GENITAL WARTS, Yeast-infection's (HPV), and Hepatitis A, B. liver diseases , Stroke, Chlamydia, Genital herpes, Alzheimer’s, Trichomoniasis , Tuberculosis, CAD, Gonorrhea, Epilepsy, and Syphilis.

    ReplyDelete
  29. Hello everyone, I want to say a special thanks to Dr OGU. for helping me get cured from herpes virus 2019 , I contacted him base on the testimonies I saw about him on the internet I was diagnosed of HERPES Virus i have tried all I can to get cured but all to know avail, until i saw a post in a health forum about a herbal man who prepare herbal medication to cure all kind of diseases including HERPES virus, at first i doubted if it was real but decided to give it a try I was cured by his herbal medicine and natural herbs, kindly contact him today through his email: drogugusolutionhome@gmail.com or text/call: +1 (719) 629 0982

    He’s waiting to help you.


    HE ALSO SPECIALIZE IN THE FOLLOWING Illness;

    If you have any sickness like : H I V/AIDS , CANCER , HERPES HSV 1 or 2 , GENITAL WARTS, Yeast-infection's (HPV), and Hepatitis A, B. liver diseases , Stroke, Chlamydia, Genital herpes, Alzheimer’s, Trichomoniasis , Tuberculosis, CAD, Gonorrhea, Epilepsy, and Syphilis.

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  30. There are groups on oncology, depression, healthcare professional support, etc. Such groups often provide forums where you can discuss issues of concern to yourself as the healthcare provider. rally's diabetic menu

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  31. There is a great herbal man called Dr voodoo who can cure Hepatitis B virus and other deadly diseases with the use of natural herbs to cure Hepatitis B virus problems. He is from Africa and he is a great doctor and he can also cure you as well if you are have the problem And other deadly disease and here is email address voodoospelltemple66@gmail.com or Whatsapp +2348140120719 HERPES CURE,CANCER CURE,HIV/AIDS CURE,HPV CURE

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  32. There are three primary phases to this programme. It begins at the most basic level and gradually advances to the most advanced level. The Yoga Burn Challenge is open to women of all ages. Click here

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