Saturday, May 16, 2020

Common Type Of Diabetes - Free Essay Example

Sample details Pages: 6 Words: 1729 Downloads: 3 Date added: 2019/05/07 Category Health Essay Level High school Tags: Diabetes Essay Did you like this example? Abstract This essay details the causes of type 2 diabetes and describes what kind of behavior can effectively improve or prevent type 2 diabetes. The essay cites three studies to prove that physical status, especially obesity increases the likelihood of having diabetes. Secondly, psychological pressure and eating habits are among the influencing factors. Don’t waste time! Our writers will create an original "Common Type Of Diabetes" essay for you Create order In addition to medical treatment for type 2 diabetes patients, there are many ways to effectively help and overcome the disorders. For example, with a reasonable diet and trying to avoid high cholesterol food. Keeping exercising but do not exercise too intensely. Maintaining a healthy state and mindset is also essential. Keywords: type 2 diabetes, obesity, etiology, exercise habits, lifestyle. OBESE ELDERLY AND T2DM 3 Part 1 If assume that my family member has a high chance of type 2 diabetes, and doctors recommend proper management of the lifestyle. After understanding and analysis of the life habits, I find that when life is busy, there is not much time and effort spent on diet for the family member. So ignoring breakfast or fast food became a substitute. And there is no time for exercise, inactive has become the state of life. In my nutrition class, I learned that the causes of type 2 diabetes may be affected. For psychological stress, the instability or panic caused the blood glucose and blood lipids to fluctuate, which affected the normal operation of insulin. When the emotions are reasonably controlled, insulin will play a normal role. Type 2 diabetes is a common type of diabetes. Unlike type 1 diabetes, it does not mean to say that the bodys immune system is destroyed. It states that the body can still produce insulin, but it cannot be effectively used, which means it will be resisted. For some people, there may be too much insulin in the body, so it needs to be treated by oral means. Insulin is a hormone that is secreted by cells in the pancreas. It also has metabolic effects on sugar, and can promote the consumption, storage and utilization of sugar. For people with diabetes, if the blood sugar level in the body is already too high, the condition will increase. And also Insulin is the only factor that can lower blood sugar. Part 2 Obesity is one reason that causes type 2 diabetes, because high blood sugar has caused damage of the muscles in the long-term. Blood glucose consumption has not been saved, but has OBESE ELDERLY AND T2DM 4 Although long-term injection of insulin can promote the synthesis of fat, it still prevents the decomposition of fat. So the symptoms of obesity in patients are getting worse. So for adults or older people, the lifestyle changes and the physical activity decreases. At the same time, rising living standards have changed the eating diet, so they consume too much energy. So they have a higher risk of developing type 2 diabetes. In the fourth unit of the book, the author makes a clear picture of the increasing number of obese people in recent years Nyamdorj, 2012). From the chart, it also shows that obesity is almost a third in the United States. Figure 1: Adult prevalence (%) of obesity (BMI †° 30 kg/m 2 ) measured by trained observers. OBESE ELDERLY AND T2DM 5 As peoples age increases, social status and family status continue to change. At the same time, peoples moods will be ups and downs. When emotions are unstable and stress increases, people are particularly prone to impatience, which leads to endocrine disorders and elevated blood sugar. This is also a cause of type 2 diabetes. Due to the continuous advancement of science and technology and the improvement of medical conditions, people are paying more and more attention to the problem of type 2diabetes. It is complex and may be caused by a combination of factors. Obesity is a major factor in causing type 2 diabetes. People with BMI greater than 30 are obese. According to the article, it states that obesity is a feature of the new era, and the incidence of diabetes is also increasing. More than one-third of people in the United States suffer from obesity. This article also mentioned that in addition to the degree of obesity can have an impact on diabetes, the location of fat accumulation also has an impact. Increased abdominal fat is reflected in the abdominal circumference and waist and hip. (Eckel et al. , 2011) Therefore, for obese people, especially if the upper body is too obese, it will lead to an increase in visceral fat, and it is even more unfavorable for insulin to maintain normal blood sugar. Instead, it will produce resistance and lead to type 2 diabetes. It is extremely important to maintain a healthful weight. Obesity is an illness and can increase the probability that people have diabetes. So what can lead to obesity? Some people may say that their family members are not overweight but they are obese. In fact, there are many causes of obesity, which may be environmental factors, endocrine factors, or genetic factors. In the article, there is a certain close relationship between obesity and hyperinsulinemia. When the body is resistant to insulin, in order to maintain normal OBESE ELDERLY AND T2DM 6 blood glucose levels, it will lead to an increase in the amount of   cells to help lower blood sugar. (Eckel et al. , 2011) So it means that when people eat food and replenish energy, a lot of nutrients like carbohydrates and proteins are absorbed through the digestive system and transformed in the body. When the   cells begin to secrete insulin, blood sugar levels remain normal. But if people eat too much, excess nutrients are stored, which can lead to weight gain. Obesity particularly affects the health of adults. If it is overweight, it can cause chronic health problems. In the survey, Kitada et al. (2018) shows that diabetes is associated with more complications. For example, there are kidney disease, cardiovascular disease and more disease. And patients with diabetic nephropathy have a higher prevalence and increase mortality. The mutual influence between diseases poses a great danger to the patients health. As a high-risk cause of diabetes, obesity should be controlled to ensure the health of patients. Although diabetes can not be radically cured and healed, physical activity can be used to intervene and effectively improve the condition. Part 3 Control of diabetes is not limited to injecting drugs. Although medication can effectively improve the condition, long-term injections can have a side effect. The accumulation of fat leads to weight gain. It is not conducive to the improvement of diabetes. On the contrary, proper weight control is necessary. For weight control, there are references to weight loss in the article. However, this behavior is still inappropriate, and if the drug is stopped, it can cause a rebound effect or be taken regularly, which can cause serious injury to the body.The article also suggests that self-monitoring should be used to improve the balance between diet and exercise.   OBESE ELDERLY AND T2DM 7 example, reduce fat and carbohydrate intake. (Eckel et al. , 2011) So, as mentioned in the article, self-monitoring is a guarantee of health. Regular blood glucose monitoring is necessary. In particular, take measurements before meals and keep body in check. This means controlling weight and starting from the ground up. It is necessary to strictly control the diet and try to achieve reasonable nutrition. Patients should also have small meals and   regular meals. For breakfast, high-fiber foods are more conducive to intake of sugar, such as steamed bread, high-fiber biscuits and so on. Lunch requires nutritious food, but the fat content cannot be too high. Fish, chicken and pasta can be properly prepared. The habit of drinking alcohol and smoking should be stopped and the increase of cholesterol should be avoided. Physical exercise is also an effective way to help obese diabetics lose weight. However, to avoid excessively intense exercise, we can choose to exercise with endurance. For example, after a meal, we can take a walk and play Tai Chi. It is best to exercise with our family. And adding water in a timely manner. It is a long-term behavior to improve the condition of diabetes by controlling weight or losing weight. It is necessary to pay more patience for exercise. OBESE ELDERLY AND T2DM 8 Reflection At the time of writing this essay, the easier part to write is the specific implementation plan for prevention or improvement of type 2 diabetes. Because after understanding the etiology of type 2 diabetes, it can be based on the cause of the disease to further study how to reduce the prevalence rate or to control the development of the disease. For example, in addition to drug treatment, maintaining a healthy state of mind and reducing psychological pressure.When attention to maintaining blood pressure and the stabilization of blood glucose levels that can effectively help relieve symptoms. For the first part of the article, it is difficult for me to assume that the cause of the family members illness or if any behaviors be able to make some changes in the disease. Because I dont have enough information about type 2 diabetes. I could hardly have a deep understanding of type 2 diabetes except what I learned in class. And I can not be determined other factors such as genetic and obesity. When making hypotheses about a certain behavior, it is difficult for me to determine whether this behavior can actually help with type 2 diabetes. It is necessary to make assumptions or bold conjectures on a topic or research, but for me later research and data collection are more important. This can help me understand more deeply and find a reasonable solution that is of great help. So in the same situation afterwards, I will try to spend more time reading or consulting experienced people to obtain effective information. References Eckel, R. H., Kahn, S. E., Ferrannini, E., Goldfine, A. B., Nathan, D. M., Schwartz, M. W., Smith, S. R. (2011). Obesity and Type 2 Diabetes: What Can Be Unified and What Needs to Be Individualized?  The Journal of Clinical Endocrinology and Metabolism,  96(6), 1654â€Å"1663. https://doi.org/ 10.1210/jc.2011-0585 Kitada, M., Ogura, Y., Suzuki, T., Monno, I., Kanasaki, K., Watanabe, A., Koya, D. (2018). A low-protein diet exerts a beneficial effect on diabetic status and prevents diabetic nephropathy in Wistar fatty rats, an animal model of type 2 diabetes and obesity.   Nutrition Metabolism,  15, Nutrition Metabolism, 2018, Vol.15. Nyamdorj, R. (2012). Obesity and Type 2 Diabetes. In Epidemiology of Type 2 Diabetes (Vol. 1, pp. 39-64). Bentham Science.

Wednesday, May 6, 2020

Causes Of The French Revolution - 906 Words

The French Revolution began with a corrupt monarch, and ended with the death of thousands. In 1789 the bourgeoisie (middle class) and peasants revolted against King Louis XVI and nobility, citing various reasons as cause: including corruption and a poor economy. These people, making up 97% of the population, were known as the third estate. The original purpose of the revolution was to create a constitutional monarchy, but this idea quickly became lost in the radical ideas of the revolution. However, the revolution, despite best efforts, failed. France once again had a complete monarchy. Many factors contributed in causing the unrest, and ultimately full blown revolution among the people of France. But, arguably, the three main causes of†¦show more content†¦The ignorance of King Louis XVI only fueled the people’s anger. They did not feel heard, and nothing was being done to aid them. Poor, hungry, and without a voice, it is unsurprising that the idea of a revolution t ook hold. Originally, the king held meetings with the Estates General, which functioned similar to a parliament. The population consisted of three â€Å"estates.† The clergy, or catholic church, the nobility, and the bourgeoisie and peasants. The first two estates represented about 3% of the population, and the third estate represented the other 97%. However, they were all given an equal amount of representatives. This meant that the first and second estates together outvoted the third estate, and meetings were inconsistent at best. Furthermore, excerpts from the Cahiers, a list of grievances, mention that â€Å"The meetings of the Estates General†¦ shall be scheduled for definite times†¦ in order to assure the third estate the influence it deserves because of its numbers†¦ its votes in the assembly should be taken by head† (Document 3). This complaint suggested that the third estate have more representatives/votes in the Estates General, as the third es tate represented the majority of the french population. Additionally, the people wanted more consistent meetings so that the king would be more involved with his country. Instead, King Louis XVI locked the third estate out of an Estates General meeting. So, the third estate moved into an indoor tennis court and sworeShow MoreRelatedCauses Of The French Revolution1119 Words   |  5 PagesThe French Revolution The French Revolution of 1789 was one of the biggest upheavals in history. You may be wondering what exactly led this to happen, but there were multiple long range causes. Political, social, and economic conditions ultimately led to the discontent of many French people especially those of the third estate. The ideals of the Enlightenment brought new views to government and society. Before the revolution, the majority of France were living in poverty. Peasants were entirelyRead MoreCauses of the French Revolution991 Words   |  4 PagesFor six of the eight causes of revolution, describe two events, actions or beliefs (evidence) during the years before the French Revolution that led to a developing revolutionary situation. Explain how each contributed to the revolutionary situation. Frances failed attempts at economic reform contributed heavily to the developing revolutionary situation. In August 1787, when the parlements refused to implement the Kings proposed changes to the financial system, it became clear that the Kings authorityRead MoreCauses Of The French Revolution911 Words   |  4 PagesThe French Revolution was a major turning point in all of European history. The old regime was destroyed and a new order came to be. 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The 4 key flaws or events leading to the fall of the regime was; the structure of royal government, the taxation system, the structure of frenchRead MoreThe Causes Of The French Revolution1522 Words   |  7 PagesThe French Revolution The French Revolution was arguably one of the most significant and controversial events in European history. It occurred during the years 1789-1799 when many French citizens became enraged with society and demanded political, financial and social change. The French people’s primary goal was to put an end to monarchy and bring reform to many aspects of French life. Inspired and motivated by the famous American Revolution, French citizens were urged to take action in orderRead MoreCauses of the French Revolution3450 Words   |  14 PagesTHE FRENCH REVOLUTION (1789-1799) The French Revolution was a watershed event that changed Europe irrevocably and ended a century of slowly increasing opposition to absolutism and the supremacy of a decadent aristocracy. The causes of the French Revolution are difficult to pin down. Therefore, we will divide them into long-term and immediate causes. Within long-term causes, we will also define intellectual, political and economic causes. Long-Term Intellectual Causes Before a movement can reachRead MoreThe Cause Of The French Revolution2375 Words   |  10 PagesThe Cause of the French Revolution Throughout history, what remains true is that the people are the ones who start a revolution. And when around 98% of a population is suffering to make a living, there is little hope for those in power. Taxes levied only on the common folk, crippling wars that left France with huge debts, and the careless spending of the upper classes ultimately lead to the start of the revolution. The main political cause was that the King had too much power but weak foreign policy

Tuesday, May 5, 2020

Statement of Advice

Question: Provide a list of your recommendations for strategies to meet the clients objectives and to address any concerns. Answer: Strategy 1: Predictable Investment Income I have the following recommendation for Sarah and Peter to consider. Under this category, in which they can have investments in stocks and bonds and the incomes from the following heads Dividend Income Interest Income High Yield Investments This section should outline what the actual strategy being recommended is, with a brief outline of that strategy to assist the clients in understanding how it works. Strategy 2: Guaranteed Investment Income For the first time investors like Sarah and Peter, this is the safest way for planning for their secured retired life. As is evident from the name, investments under this category are found to be guaranteed. This proves to be satisfactory for first time investors as such guarantees always come with a backing of the government. Hence, first time investors making investments in government bonds, securities or in insurance companies stand the chance of a secured and guaranteed returns. Other guaranteed and equally secure investments are Annuity Plans, Certificates of Deposit and Treasury Securities. During my long experience I have also found the following to be effective - Super Funds and Social Security Schemes, provided the investor is availing them from a young age and is consistently contributing to them all through the working life, so that their full benefits can be reaped by them after their retirement. More detail relating to advantages and risks are to be completed in the following sections. With the changing times and the fast paced changes which are happening in the lifestyle of investors, combined with their tendency of opting for retirement at the traditional age of 60 years, the criteria for allocation of investment structure has also undergone a substantial change. As I have discussed in the strategy explained above, investors such as Sarah and Peter, are becoming interested in the fluctuating mode available in investments, as this offers a quick and accessible method for withdrawal of funds and also offers the investors with options of making changes in their income inputs so that it suits their demands. Why is my advice appropriate for you? The reasons for recommending the strategies above are: Each of the strategies listed above should be noted in the left hand column. The right hand column should contain the explanation. Add additional rows as required to ensure all strategies are covered. Strategy Why this is appropriate Strategy 1 Although safe, it is not as productive as Strategy-2. Strategy 2 This strategy is more productive and flexible. Does my advice have any risks or disadvantages? Unfortunately taking on any new strategy involves some level of risk. To take on these recommendations, the following risks have been considered: Each of the strategies listed above should be noted in the left hand column. The right hand column should contain the explanation. Add additional rows as required to ensure all strategies are covered. Strategy Risks/Disadvantages Strategy 1 The couple get income from the interest and dividend given by the offering company. In case of an economic downturn, this income can be reduced and under severe circumstances, can even be totally lost. Strategy 2 These investments are backed by the governments and even in case of an economic downturn, there are no chances of any loss of income or complete loss of investments. What alternative strategies were considered? In deciding upon making the above recommendations, the following alternative strategies were considered, but dismissed: Alternative Strategy Reason for dismissal Strategy 1 This strategy could be dismissed by the couple because of their demand of wanting a stable and regular income. Strategy 2 There is no reason to dismiss or ignore this strategy as it fully meets the desired results of the couple and also offers their next generation the security of investments as well as a steady and regular source of income. Consequences of replacing one financial product with another These recommendations include the transfer of existing benefits. A consequence of this will be that fees and charges can occur. To ensure these are full taken into account, please consider the comparison provided below: Include a table that gives a comparison of any products that you have recommended be transferred or replaced as a part of your recommendations. This should provide detail of any: Exit or transfer fees; Entry fees; Current vs. proposed ongoing administration fees and other costs; The loss of any benefit that currently is in place Any other significant consequences (CGT, insurance loadings, etc.) This comparison should conclude with a statement outlining why your recommendations are superior to the clients current arrangements and how they are in the clients best interest. There are no suggestions to be made to Sarah and Peter for replacements or transfers for products as they are first time investors and have never made investments in the market led investment portfolios. Moreover, the couple has been, so far, only making contributions to super funds and in this direction I would definitely recommend to them to consider the option of starting their own SELF-MANAGED SUPERANNUATION FUND (SMSF), which they can jointly float as trustees and make their daughter Christine and their grand-daughter Beth as the beneficiaries. The biggest apprehension shown by both Sarah and Peter is about their gambling-addicted son-in-law, with whom their grand-daughter is very mush attached. The couple fear that their son-in-law can take advantage of this weakness and may try to extract money from Christine after he finds that she has access to the large legacy left by Sarah and Peter. But in case the couple starts the SMSF, and makes Christine and Beth as the beneficiaries of the income from SMSF, then the son-in-law cannot have access to the funds because even Christine will not have access to the funds of the SMSF as per the rules governing the SMSFs are laid out. Outcomes and other information In this section outline the outcomes from your recommendations whether you project the clients goals to be achieved, how you have addressed the issues you identified, etc. This section should also be used to provide detail in relation to information that was requested, or to elaborate on why certain strategies they may have raised were not used (e.g. legislative restrictions, lack of funding, etc.) Ongoing review service Outline here the ongoing service you wish to offer to the clients to review the plan that you have put into place. This should include: The need for the service Features of what your service provides How often reviews will take place The cost of this service and how payable Section 3: What else you need to know This section: Tells you about any fees that I will receive; Explains what product fees you will pay; and Answers other questions you might have about my advice. Please also make sure you have read the Financial Services Guide (FSG) I have provided, and be sure to ask me any questions you might have in relation to any of this. What are my fees? My fee for the preparation of this advice is $3,000 (including GST). Where you have recommended any investments and charged a portion of the lump sum as part of your initial or ongoing remuneration please include the following table: Investment Initial/Upfront remuneration Ongoing remuneration $ % $ % $ Total $ $ Include the following table if you are receiving commissions from life insurance policy recommendations as part of your remuneration Insurance Policy Annual Premium Initial Commission Ongoing Commission % $ % $ Total $ $ Conflict of interest Please note that the following payments will be made and are directly related to having provided you with this advice: Provide detail of payments received from any source, as well as any payments you will make to other parties. Remember that a payment to an associated company must be disclosed as a conflict, even where the planning business does not directly receive the benefit (e.g. payment to the accountancy practice under which the planning business operates). What product fees will I pay? Provide details of the costs within any of the products that are recommended. These can include: Set-up costs (trust deed, lodgement fees, etc.) Brokerage Indirect Cost Ratios (ICRs)/Management Expense Ratios (MERs) Where these fees are amounts based on a percentage of any investment, include a table outlining the percentage and dollar amounts based on the current value recommended. What steps do I take next? Provide a table that outlines each step required to implement your recommendations. This should detail: What each step is; Who is responsible for each step; and When each step is to be completed by. Other questions you might have Am I restricted to an approved product list? As an adviser of Pinnacle Financial Services Network I have access to a range of financial products that has been researched by my licensee. These products have all met rigorous scrutiny from the investment committee after being rated by an un-conflicted research body. If there is a specific product you would like a recommendation on please let me know and I will arrange for its review by these sources. If approved we can then include it as part of the recommendations Does my advice have a time limit? Yes, my advice should be revisited if it is not implemented within 28 days of the date on the cover of this SOA. Is your information protected? Yes. Your information is stored and not given to any party outside Pinnacle Financial Services Network unless the law says that we must. Disclaimer No warranty as to correctness is given and no liability is accepted for any error, or omission, or any loss, which may arise from relying on this data. Every effort has been made to assure the highest reasonable degree of accuracy in your financial plan. However, due to the dynamic nature of our economic and tax environments, no guarantees or assurances can be given regarding the profitability or tax benefits of any investment. This plan is only as accurate as the information on which it was based. If the data originally supplied to us is incorrect or incomplete, the plan will reflect these inaccuracies, and these errors will project into the future at a magnified rate. Certain assumptions made by us, or you, may also limit the accuracy of the data. Where tax benefits are illustrated, they are based on the best information currently available. Various proposals are made from time to time to change the tax laws, and it seems probable that many of our current tax laws will undergo changes during the years illustrated in this financial plan. Some of these proposals, if enacted, might have a serious adverse effect on tax consequences of some of the investment strategies proposed. On the other hand, some proposals may significantly enhance your position if enacted. Authority to Proceed We, Sarah Parsons and Peter Parsons, having read the Statement of Advice dated DATE and prepared by ADVISER NAME acknowledge: The information provided in this document is accurate and reflects my/our current circumstances; I/We understand and agree that the risk profile recommended meets our concerns and requirements; That the recommendations given in this Statement of Advice meet our needs and objectives as stated in this document; That the recommendations given are based on legislation current at the time of making these recommendations; That because legislation is subject to change these recommendations should be reviewed if not implemented within 28 days from the date on the cover of this SOA; I/We understand that the recommendations made in this Statement of Advice are for our use only and should not be passed on as recommendations suitable to other parties; That if the recommendations made in this Statement of Advice, unless implemented in full as described may not meet the desired outcomes stated as the goals and objectives described; and That where a referral has been given to another party to seek recommendation for investment and personal insurances, any recommendation made by that party is not the recommendation of ADVISER NAME. We agree with the recommendation and give authority to commence establishment. We agree with the recommendations in part and will advise you in writing which strategies we wish to have implemented. We do not agree with the recommendation and do not wish to proceed with implementation. Member 1: Sarah Parsons Date Member 2: Peter Parsons Date Adviser Name Date