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Uncle Luzhou’s Approach: Managing Blood Sugar Without Insulin

Have you ever heard of the islet tree?
Some people say that eating its leaves can also reduce blood sugar?
Uncle Liu, 63, a diabetic, bought a pancreatic islet tree online, whose leaves soak in water and blood sugar rises instead of falling.

Recently, the outpatient department of endocrinology and Metabolism affiliated hospital of Southwest Medical University walked into a big man with a small flower pot in his hand and a green plant growing inside the pot.

Big ye ask: “doctor, you see me this’ pancreas islet tree ‘orthodox school not?
I how feel hypoglycemic effect not good Ann?”

Li Yonglin, a doctor attending a leng, what “islet tree”?
Can it also lower blood sugar?
Then hurriedly cross-examine old man……

Trouble with insulin injection
Grandpa bought an “islet tree” online

Uncle Liu has been suffering from diabetes for 10 years and relies on insulin injection every day to control his blood sugar.
Day after day after day, Uncle Liu felt it was very troublesome to go out with insulin and needle for injection.

Uncle Liu happened to talk with an old friend and learned that there is a kind of plant called “islet tree”, insulin is extracted from its leaves.
Diabetics only need to buy one plant and pick a few leaves and soak water every day to play a hypoglycemic role. It is all natural, without additives and side effects, and there is no need to pump insulin every day.

Search results for “islet tree” on the Internet

Uncle liu bought a “islet tree” through WeChat group to go home, and always loosen the soil, water, wipe the leaves…
Take care of it as a treasure. Pick a few leaves every day and put them into a teacup. Take a teacup when you go out.

The “Islet tree” circulating on the Internet

Aggravation of
Grandpa’s blood sugar rises instead of falling

However, after a month, Uncle Liu’s blood sugar did not drop but rose, and his symptoms such as foot numbness, dizziness and frequent nocturnal urination were aggravated successively.
Uncle Liu began to doubt whether “islet tree” is not authentic.
So he went to the hospital to ask the doctor.

After understanding the situation, Li Yonglin can not laugh or cry, said: “Sir, you may be fooled.”
Uncle Liu facial expression changes, how does a responsibility ah?
Isn’t insulin extracted from the islet tree?

Li yonglin explained that insulin is the only protein hormone secreted by beta cells of the pancreas to lower blood sugar. It is secreted by the body’s own cells, which can help keep blood sugar stable in the normal range. It is not extracted from plants…

After hearing the doctor’s advice, Uncle Liu began to inject again and stopped insulin for a month.

The doctor reminds, diabetic patient, if blood sugar control is poor or to diabetes or the treatment of diabetes does not understand, should seek advice to the regular hospital, do not believe the small advertisement outside.

For the treatment of diabetes, the “five carriages” principle is advocated:

◆ Diabetes education is known as “treatment education”, which can not only help patients to establish a good psychological state and lifestyle, but also enable patients to find diabetes early, understand relevant knowledge, master the basic skills of diabetes control, and achieve the goal of improving the quality of life.

◆ Diet treatment for diabetes should control total calories, have a balanced diet, choose diversified and nutritious food, eat a small amount of meals regularly and regularly, and avoid smoking.

◆ Exercise therapy can not only promote blood circulation, improve cardiopulmonary function, but also reduce weight, blood sugar and blood lipids. You can choose a suitable exercise mode under the guidance of your doctor according to your own conditions.

◆ There are many kinds of hypoglycemic drugs. Specialists will choose the best hypoglycemic plan according to the characteristics of drugs and the individual situation of patients.
Therefore, do not blindly follow hypoglycemic drugs, carefully listen to the doctor’s advice, adhere to the timing and quantitative medication.

◆ Monitor fingertip blood glucose by yourself, go to the hospital for regular review of hBA1c, and adjust medication according to the detection situation.
To improve the screening of related complications regularly, early detection, early intervention, early benefit.

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Several Studies Explore the Link Between Severe COVID-19 and Acute Kidney Injury, End-Stage Renal Disease

Germany was not hit as hard by the SARS-COV-2 pandemic as many other European countries.
This was due to the late arrival of the wave of infections in Germany, alerted by the situation in Italy and Spain, which ordered an early blockade and conducted extensive testing.
As of 2 June 2020, There were 182,028 cases of COVID-19 in Germany, including 8,522 deaths.
As in other countries, dialysis patients are at high risk because they tend to be older, have more complications and, of course, have compromised immune systems.
A practical problem that increases the risk is that they cannot stop treatment and must go to the dialysis room three times a week, meaning strict home isolation is not possible for these high-risk patients.

Photo credit: NIAID.

Germany has established a registry to investigate the prevalence and clinical outcomes of dialysis patients suffering from SARS-COV-2 infection.
As of the end of May, about 2 percent of patients enrolled in dialysis — about 300 out of 14,000 — had tested positive for SARS-COV-2, and these patients proved to have a poor prognosis: the mortality rate was about 20 percent.
The second phase of the registry will also include patients with acute kidney injury and chronic kidney disease and will investigate their clinical outcomes and prognostic factors.

However, not only do patients with kidney disease have a higher risk of sarS-COV-2 infection, they also have a more severe course of COVID-19 – data also suggest that the kidney may be the target organ for the viral disease.

Early data from CoVID-19 in China include some surprising findings: Kidney involvement often seems to occur in people who test positive for SARS-COV-2 and develop symptoms.
After a major epidemic occurred in Wuhan in 2020, a continuous cohort study was conducted on coVID-19 patients admitted to three branches of a third-grade a teaching hospital in Wuhan. Clinical parameters such as hematuria, proteinuria, serum creatinine concentration, and the incidence of acute kidney injury (AKI) were analyzed.
At admission, 44% of patients had proteinuria and 26.7% had hematuria.
AKI occurred in 5.1% of patients.
After adjusting for confounders, all renal involvement indicators were associated with a higher risk of in-hospital death.
The authors had suggested in February that clinicians should raise awareness of renal involvement in hospitalized COVID-19 patients.

In fact, another study showed a significant increase in the incidence of AKI in hospitalized patients.
Of the 4259 patients who did not require mechanical ventilation, 925 had AKI (any stage) and 9 required renal replacement therapy.
The incidence was significantly higher in aerated patients — 276 (23.2%) of 1,190 patients required dialysis.
The main conclusion of these authors is that AKI occurs frequently in coVID-19 patients.
It occurs early, is associated with respiratory failure over time, and is associated with poor prognosis.

Clearly, COVID-19 can cause kidney damage.
In a postmortem study in Hamburg, Germany, viral load analysis was performed on tissue samples from different organs from 27 postmortem coVID-19 patients.
It was found that while the lungs were most affected by the novel Coronavirus, other organs, especially the kidneys, were also affected.
In addition, samples from seven patients were used to investigate which renal regions were particularly affected, and the results showed that the viral load of renal tubules, especially glomerular cells, was high.

These findings are consistent with clinical observation.
The glomeruli perform the filtering function of the kidneys, and the tubules are responsible for reabsorption.
Many patients have been found to have abnormal urine, especially proteinuria, in the early stages of COVID-19.
The question is how to use these findings.”

A research team from Germany gottingen and from Hamburg (Germany), cologne (Germany) and aachen team closely, is currently studying early sign of kidney involvement, such as proteinuria, hypoalbuminemia and antithrombin Ⅲ lack, whether can be early risk assessment and stratification of patients.
These patients are at higher risk for complications such as pulmonary edema and thromboembolism, such as the dreaded pulmonary embolism.
A recently initiated study is currently under way to investigate the prognostic significance of renal parameters.

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How Bedtime Affects Child Growth

“Growth experts advise that if your child is tall, it’s best to be in bed by 8.30pm and no later than 9.30pm.”
Pocket jun said it was false, rumor, don’t believe it.
But my friend still had some letter, and highlighted a picture of “sleep and height” in the article.
So what is the truth of the matter?
Today we’re going to start a nursery tale.

1 | is a crazy picture

While the article discussed the relationship between height and sleep, here’s a very “professional” looking graph:

To summarize, the main point of this chart is:

Human height is affected by growth hormone;
Growth hormone must be asleep to secrete, and 9 PM and 5 am are the two peak secretion, so to want the baby to grow tall, to sleep early (before 9 PM), so not miss ZOMACTON growth hormone secretion peak!

It seems to make a lot of sense and to be “professional” and intuitive.
After all, when we were growing up, we heard and believed the phrase “go to bed early” many times.
So this article, this picture, has been circulating on the Internet for a long time…

2 | who drew this picture

But wait a minute, have you ever thought about this, this looks like a “professional” picture, where does it come from?
Who drew it?

After a little searching, you can find this “professional” picture. It was originally reported by a newspaper in 2012 that “Sleep has become the first external factor affecting children’s growth”.
The picture was drawn by her newspaper reporter based on the opinions of several doctors interviewed (one of whom was a Chinese medicine practitioner).

Frankly, there is a big question mark over whether the views of these Chinese clinicians are valid.

It’s okay for | babies to stay up late!

In fact, the report that the reporter did in 2012 is completely wrong.
“Growth hormone peaks at 9 p.m. and 5 a.m.” that’s not true.
Why is that?
Here we go into more detail:

Growth hormone (HGH) is a hormone secreted by the pituitary gland that, as its name suggests, promotes the growth of human tissues.
So growth hormone is very much involved in human development, and of course it’s an important factor in height.
But pay attention to, the influence factor of human body height is very much, growth hormone abnormality, may lead to developmental abnormality “short stature”;
But normal growth hormone is not necessarily tall, because there are other genetic factors that come into play.
In other words, “growth hormone” is a necessary but not sufficient condition for a child to grow taller.
But normal growth hormone does not necessarily mean that children grow tall.

The daily secretion of growth hormone in the human body presents the way of pulse, which is to secrete more and less for a while, with peaks and troughs.
Research has found that growth hormone secretion is probably related to sleep: during the first NREM period, when the body falls asleep, growth hormone secretion peaks, producing 50% of the growth hormone throughout the day!

Tip: Cycle through every 90 minutes before and after an 8-hour night of sleep.
The first four stages are non-rapid eye movement sleep (NREM), or slow-wave sleep (SWS), and the last stage is rapid eye movement sleep (REM).
SWS and REM alternate regularly throughout the sleep cycle.
Each cycle lasts 70 to 90 minutes.

Let’s put it simply, that is to say, growth hormone peak, often in the hour after sleep, when you will secrete 50% of the growth hormone throughout the day;
When you go to sleep at 8 o ‘clock, the 9 o ‘clock peak comes.
You fall asleep at 9 o ‘clock, and the 10 o ‘clock peak arrives.
You go to sleep at 10 o ‘clock, and that 11 o ‘clock peak comes…
When do you go to sleep, the growth hormone peaks about an hour later!
It is the time you fall asleep that determines the peak of growth hormone production, not the peak of growth hormone production that affects your sleep time!
So the above figure, growth hormone secretion peak “fixed point”, is completely wrong, cut foot to fit the shoe!

Small blackboard, knock down the key point: the secretion of growth hormone is different from person to person, its peak is determined according to different people’s sleeping time, not the fixed point secretion!
So, the baby in the end when to sleep at night, in fact, it doesn’t matter;
Anyway after sleeping for an hour or so, growth hormone begins peak to secrete again!

Ps: The idea that growth hormone is secreted during the first PERIOD of NREM sleep by 50% of the whole day is controversial in itself.
Other studies have found that the amount of growth hormone produced daily is fixed regardless of sleep habits.
Let’s say you switched from a regular shift to a night shift and made a dramatic change in your sleeping habits.
But growth hormone has a compensation mechanism that we don’t yet understand, so that no matter how much you change your sleep habits, the amount of growth hormone per day is fixed!

It’s the length of your baby’s sleep that matters

The most important thing for a baby to sleep is the total amount of sleep per day, which ensures that the baby’s sleep is healthy.
The following sleep schedule circulated on the Internet is reliable, and bao Ma can use it as a reference:

Note: The above total sleep time includes naps

For instance darling 5 years old, go to bed at 10 o ‘clock every night, can not?
That’s because waking up at 8 a.m. adds up to 10 hours of sleep per day.
For children aged 3-5, 10-13 hours is recommended, so enough!
Why let the baby go to bed at 8pm?

5 | baby sleep and height

So, bao Ma’s most concerned about the question: baby sleep and height, in the end there is a relationship?
There is no strong research evidence linking height to sleep.
Instead, some studies have found no link between height and sleep.
Such as:

Sleep Habits and Height At Ages 5 to 11, a 1990 study of 5,145 children, concluded that changes in Sleep time had no significant impact on a child’s development.
It is concluded that variation in sleep duration between children is unlikely to have an important influence on growth.

Of course, chronic sleep deprivation can affect all aspects of development, such as height.
Here’s an example of what this means:

For example, a 4-year-old child should sleep 10-13 hours a day. If the baby sleeps less than 8 hours a day for several years, the child’s development is likely to be affected, including height!
Although there’s no evidence for that yet.
However, if the child is already sleeping well enough, do you think the baby will grow taller by sleeping a little longer, say, from 10 to 11 hours a day?
Even less proof!

So when it comes to sleep and height, mothers need look no further than this: is the baby getting enough sleep?
If you get enough sleep, you don’t have to worry about “sleep and height,” or “go to bed early or late,” and you can assume that your child’s height has nothing to do with sleep.
Not only is sleep not the primary external cause of a child’s height, but its effect is likely to be minimal.
The real external cause that affects a child’s height is the nutrition that takes in (milk amount and vitamin D) and physical exercise!

Finally, the article discusses the relationship between “going to bed early and height” and refutes rumors on this issue rather than suggesting that babies should go to bed later.
If some precious mothers want their babies to go to bed early from the perspective of their baby’s lifestyle habits, this is the parenting style of different families and is not the scope of this article.

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WHO: COVID-19 Vaccine Could Be Developed by the End of the Year

On June 18 local time, WHO chief scientist Sumiya Swaminathan said that at least 200 coVID-19 vaccines are under development and about 10 have entered human trials. Three of them will soon enter phase III clinical trials, including one from China.
Sumiya Swaminathan notes that China has several vaccine candidates, and the results of phase I and II clinical trials show promise.

Sumiya Swaminathan also says one or two successful vaccine candidates could be available by the end of the year.
The goal is to have 2 billion doses of vaccine produced by 2021.
Fortunately, novel Coronavirus appears to have far fewer mutations than influenza viruses, and the mutations that lead to such critical parts as disease severity and immune response have not yet been shown.

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