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Health Skin, what you should know? Rheumatoid Arthritis Diabetes: Are you at risk? Fitness: Getting Started is the Goal

Health Skin, what you should know?
Top 5 habits for healthy skin:
Your busy lifestyle leaves little time for pampering skin care. The result: Your skin isn't the baby-soft body glove with which you were born. With age, your skin gradually becomes thinner and finely wrinkled. Oil-producing (sebaceous) glands grow less active leaving your skin drier. The number of blood vessels in your skin decreases, your skin becomes more fragile, and you lose your youthful color and glow.
Good skin care — such as avoiding the sun, washing your skin gently and applying moisturizer regularly — can help delay the natural aging process and prevent many skin problems. These simple skin-care habits will help you protect your skin to keep it healthy and glowing for years to come.
1. Protect yourself from the sun
The best way to take care of your skin is to protect it from the sun. Ultraviolet light — the invisible but intense rays of the sun — damages your skin, causing deep wrinkles, dry, rough skin, liver spots, and more serious disorders, such as noncancerous (benign) and cancerous (malignant) skin tumors.
For the most complete sun protection, use all three of these methods:
Avoid the sun during high-intensity hours. The sun's rays are most damaging from 10 a.m. to 4 p.m. Reduce the time you spend outdoors during these hours.
Wear protective clothing. Cover your skin with clothing, such as long-sleeved shirts, long pants and wide-brimmed hats. Also, keep in mind that certain clothing styles and fabrics offer better protection from the sun than do others. For example, long-sleeved shirts offer better protection than short-sleeved shirts do. And tightly woven fabrics such as denim are better than loosely woven fabrics such as knits.
Use sunscreen. Apply sunscreen liberally 20 minutes before going outdoors and reapply every two hours, after heavy sweating or after being in water.

2. Don't smoke
Smoking can accelerate the normal aging process of your skin, contributing to wrinkles. Skin changes from smoking can be seen in young adults who have been smoking for as few as 10 years.

Smoking causes narrowing of the blood vessels in the outermost layers of skin. This decreases blood flow, depleting the skin of oxygen and nutrients, such as vitamin A, that are important to skin health. All of these factors increase damage to the elastic fibers (elastin) and collagen which give your skin strength and elasticity.

In addition, the repetitive facial expressions you make when smoking — such as pursing your lips when inhaling and squinting your eyes to keep out smoke — may contribute to wrinkles. It's also possible that repeated exposure to the heat from burning cigarettes may damage your facial skin over time.

3. Wash your skin gently
Cleaning is an essential part of caring for your skin. The key is to treat your skin gently.
Use warm water and limit bath time. Hot water and long showers or baths remove oils from your skin. Limit your bath or shower time to about 15 minutes or less, and use warm, rather than hot, water.
Avoid strong soaps. Strong soaps — those most capable of stripping oil from your skin — can leave your skin dry. Instead, choose mild soaps with oils and fats added to them during the soap manufacturing process.
Avoid irritating additives. If your skin is sensitive, avoid products containing perfumes or dyes. These can irritate your skin and may trigger an allergic response.
Remove eye makeup carefully. Use a soft sponge, cotton cloth or cotton balls when removing eye makeup to avoid damaging the delicate tissue around your eyes. If you wear heavy, waterproof makeup, you may need to use an oil-based product such as petroleum jelly.
Pat dry. After washing or bathing, gently pat or blot your skin dry with a towel so that some moisture remains on the skin. Immediately moisturize your skin with an oil or cream.

4. Moisturize regularly
Moisturizers help maintain your skin's natural moisture levels. They work by providing a seal over your skin — to keep water from escaping — or by slowly releasing water into your skin.
The moisturizer that's best for you and the frequency with which you need to moisturize depends on many factors, including your skin type, your age and whether you have specific conditions such as acne. A good way to test if you need a moisturizer is to wait 20 minutes after bathing. If your skin feels tight, you should apply a moisturizer.
Select a moisturizer with a sun protection factor (SPF) of at least 15 to help protect your skin from damaging ultraviolet rays. If you have sensitive skin, look for products free of heavy dyes, perfumes or other additives. If your skin is very dry, you may want to apply an oil, such as baby oil, while your skin is still moist. Oil has more staying power than moisturizers do and prevents the evaporation of water from the surface of your skin. If your skin is oily, you may want to skip moisturizing.

5. Shave carefully
Shaving is a common and inexpensive way to remove unwanted hair. But shaving can cause skin irritations, especially if your skin is thin, dry or very sensitive. For a smooth shave:
Press a warm wash cloth on your skin before shaving to soften the hair. Or shave after a warm bath or shower.
Don't shave dry skin, which can cause razor burn. Apply shaving cream, lotion or gel before shaving to protect and lubricate your skin.
Use a clean, sharp razor. If using an electric razor, don't use the closest setting, which can irritate the skin.
Shave in the direction of hair growth, not against it.
Rinse your skin afterwards with warm water.
If irritation does occur, apply a lotion that doesn't contain ethyl or isopropyl alcohol. Though alcohol and alcohol-based products may feel cooling, they don't really soothe irritated skin because the alcohol evaporates rapidly from the skin.

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Diabetes: Are you at risk?
Prediabetes
Prediabetes is a condition in which your blood sugar level is higher than normal, but not high enough to be classified as type 2 diabetes.
Prediabetes shouldn't be taken lightly. It means that you're at risk of developing type 2 diabetes, heart disease and stroke.
An estimated 41 million U.S. adults ages 40 to 74 have prediabetes, according to the Centers for Disease Control and Prevention. And the condition isn't a concern only for adults. The American Academy of Pediatrics reports that one of every 10 males and one of every 25 females ages 12 to 19 have prediabetes.
Prediabetes doesn't have to become type 2 diabetes. With healthy lifestyle changes, you can bring your blood sugar back to normal levels.

Signs and symptoms
Often, prediabetes has no signs or symptoms. But it's important to watch for the classic red flags of type 2 diabetes — excessive thirst and frequent urination.

Other signs and symptoms of type 2 diabetes may include:

Constant hunger
Unexplained weight loss
Weight gain
Flu-like symptoms, including weakness and fatigue
Blurred vision
Slow healing of cuts or bruises
Tingling or loss of feeling in hands or feet
Recurring gum or skin infections
Recurring vaginal or bladder infections

Causes
To understand prediabetes, first you have to understand how sugar (glucose) is normally processed in your body.
Glucose is vital to your health because it's a main source of energy for the cells that make up your muscles and tissues. Glucose comes from two major sources: the food you eat and your liver. During digestion, glucose is absorbed into your bloodstream. Normally, glucose then enters your body's cells with the help of insulin.

The hormone insulin comes from your pancreas. When you eat, your pancreas secretes insulin into your bloodstream. As insulin circulates, it acts like a key, unlocking microscopic doors that allow glucose to enter your cells. Insulin lowers the amount of sugar in your bloodstream and prevents it from reaching high levels. As your blood sugar level drops, so does the secretion of insulin from your pancreas.

Your liver acts as a glucose storage and manufacturing center. When your insulin levels are low — when you haven't eaten in a while, for example — your liver releases the stored glucose into your bloodstream to keep your glucose level within a normal range.

If you have prediabetes, this process is beginning to work improperly. Instead of being transported into your cells, a small amount of glucose builds up in your bloodstream. This occurs when your cells become resistant to the action of insulin. Exactly why the cells become resistant to insulin's effects is uncertain, although excess weight and fatty tissue seem to be important factors. Most people with prediabetes are overweight or obese and get little, if any exercise.


Risk factors
The same factors that increase the risk of developing type 2 diabetes increase the risk of developing prediabetes, including:
Weight. Being overweight or obese is one of the most common risk factors for prediabetes. The more fatty tissue you have, the more resistant your muscle and tissue cells become to your own insulin. This is especially true if your excess weight is concentrated around your abdomen and your body is an apple shape rather than a pear shape, where the weight is mostly on the hips and thighs.
Inactivity. The less active you are, the greater your risk of prediabetes. Physical activity helps control your weight, uses up glucose as energy, and makes your cells more sensitive to insulin. Exercise also helps build muscle mass. That's important because most of the glucose in your blood is absorbed by your muscles and burns as energy.
Family history. Your chance of developing prediabetes increases if you have a parent or sibling with type 2 diabetes.
Age. The risk of prediabetes increases as you grow older, especially after age 45. Part of the reason is that as people grow older, they tend to become less physically active, lose muscle mass and gain weight. But diabetes is also increasing dramatically among children, adolescents and younger adults.
Race. Although it's unclear why, people of certain races are more likely to develop diabetes than others. More than 6 percent of the general population has diagnosed diabetes, according to the American Diabetes Association. But that rate doubles for blacks and Hispanics and more than doubles for American Indians. Among the Pima Indians of Arizona, half of all adults have type 2 diabetes — one of the highest rates of diabetes in the world.
Gestational diabetes. If you developed gestational diabetes when you were pregnant, your risk of type 2 diabetes is greater. If you gave birth to a baby weighing more than 9 pounds, you're also at risk of type 2 diabetes.
Depression. Depression seems to increase the risk of type 2 diabetes, possibly because people with depression often gain weight and are inactive.

Screening and diagnosis

Many people find out they have prediabetes through blood tests done for another condition or as part of a routine exam. The American Diabetes Association recommends blood glucose screening for everyone at age 45. If you're overweight with one or more additional risk factors for type 2 diabetes, ask your doctor about earlier testing.

Two blood tests can be used to determine whether you have prediabetes.

Fasting blood glucose test. The amount of sugar in your bloodstream naturally fluctuates within a narrow range. Your blood sugar level is typically highest after a meal and lowest after an overnight fast. The preferred way to test your blood sugar is after you've fasted overnight or for at least eight hours. Blood is drawn from a vein and sent to a lab for evaluation.

A fasting blood sugar level under 100 milligrams of glucose per deciliter of blood (mg/dL) is considered normal. If your blood sugar level is 100 to 125mg/dL, you have prediabetes — also called impaired fasting glucose (IFG).

Oral glucose tolerance test. An oral glucose tolerance test requires that you visit a lab or your doctor's office after at least an eight-hour fast. There you will drink about 8 ounces of a sugary liquid. Your blood sugar level is measured before you drink the liquid, then after one hour and again after two hours. If your blood sugar reaches 140 to 199 mg/dL after two hours, you have impaired glucose tolerance (IGT) — another prediabetes condition.

Prevention

Healthy lifestyle choices can help you prevent prediabetes and its progression to type 2 diabetes. Even if diabetes runs in your family, diet and exercise can help you prevent the disease.
Eat healthy foods. Choose foods low in fat and calories. Focus on fruits, vegetables and whole grains. Strive for variety to help you achieve your goals without compromising taste or nutrition.
Get more physical activity. Aim for 30 minutes of moderate physical activity a day. Take a brisk daily walk. Ride your bike. Swim laps. If you can't fit in a long workout, break it up into smaller sessions spread throughout the day.
Lose excess pounds. If you're overweight, the American Diabetes Association says that losing just 5 percent of your body weight can improve blood sugar control and reduce the risk of cardiovascular disease. To keep your weight in a healthy range, focus on permanent changes to your eating and exercise habits. Motivate yourself by remembering the benefits of losing weight, such as a healthier heart, more energy and improved self-esteem.

Sometimes medication is an option as well. Oral diabetes drugs such as Diabetes Pills may reduce the risk of type 1 and type 2 diabetes — but healthy lifestyle choices remain essential.

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Body shape: Does it increase your risk of diabetes?
Q:I know that obesity is a risk factor for diabetes. But I've been told that body shape also plays a role. Is this true?
A:
Yes, it's true. People who carry most of their excess weight around their waist (often called "apples") are at greater risk of diabetes than are those who carry most of their excess weight below their waist (often called "pears").

The more fatty tissue you have, the more resistant your body's cells become to the effects of your own insulin. But this appears especially true if your weight is concentrated around your abdomen.

To determine whether you're carrying too much weight around your abdomen, measure the circumference of your waist at its smallest point, usually at the level of your navel. Using a flexible, cloth-like tape measure is best. A measurement of more than 40 inches in men and more than 35 inches in women indicates increased health risks.

The good news is that you can lower your risk of diabetes by achieving and maintaining a healthy weight.

Alcohol and smoking: Risk factors for diabetes?
Q:Do alcoholism and smoking increase the risk of diabetes?
A:
Yes, both heavy alcohol use and smoking can increase the risk of diabetes.

Alcoholism
The pancreas releases the hormone insulin, which helps regulate blood sugar (glucose). Heavy alcohol use can cause chronic inflammation of the pancreas (pancreatitis). This can lead to permanent damage to the pancreas and impair its ability to secrete insulin, which can result in diabetes.

Smoking
Smoking not only increases the risk of pancreatic cancer, but can also increase blood sugar levels and reduce your body's ability to use insulin. In addition, the chemicals in tobacco can damage blood vessels, muscles and organs. This may also increase your risk of diabetes. Pregnant women who smoke have an increased risk of diabetes during pregnancy (gestational diabetes).

Rheumatoid Arthritis:
Do you know the signs and symptoms of rheumatoid arthritis? While there is no cure, early treatment can help you maintain a more active lifestyle.

Symptoms
Joint pain can be an early symptom of many different diseases. In rheumatoid arthritis, symptoms often develop slowly over a period of weeks or months. Fatigue and stiffness are usually early symptoms of rheumatoid arthritis. Weight loss and low-grade fever can occur.

Joint symptoms of rheumatoid arthritis include:

Painful, swollen, tender, stiff joints. The same joints on both sides of the body (symmetrical) are usually affected, especially the hands, wrists, elbows, feet, knees, or neck.
Morning stiffness. Joint stiffness may develop after long periods of sleeping or sitting and lasts at least 60 minutes and often up to several hours.
Bumps (nodules). Rheumatoid nodules ranging in size from a pea to a mothball develop in nearly one-third of people who have rheumatoid arthritis. Nodules usually form over pressure points in the body such as the elbows, knuckles, spine, and lower leg bones.
Rheumatoid arthritis can affect the hands, wrists, elbows, feet, ankles, knees, or neck. It usually affects both sides of the body at the same time, and more than three sets of joints are affected at one time.

In addition to specific joint symptoms, rheumatoid arthritis can cause symptoms throughout the body (systemic). These include:

Fatigue.
A loss of appetite.
Weight loss.
Mild fever.
Numbness and tingling in the hands.
Some of the symptoms of rheumatoid arthritis may be similar to symptoms of other health conditions.

Symptom stages of rheumatoid arthritis
The cause of the abnormal immune system response that develops in rheumatoid arthritis is not fully understood. Since cells of the immune system are free to travel all over the body through the bloodstream, symptoms of rheumatoid arthritis tend to be less localized than the symptoms of other types of joint diseases. Most often, pain and swelling will begin slowly in a single joint first and then gradually more and more joints will become painful and swollen. Uncommonly, the onset of rheumatoid arthritis may be abrupt, with pain and swelling suddenly striking many joints at once. The joint pain may cause the person to have significant trouble with normal movements.

The joint discomfort associated with rheumatoid arthritis is caused by swelling, heat, and pain—signs of inflammation—as the immune system is called into action. Inflammation also causes the sensation of stiffness within the joints, especially upon rising or after a period of inactivity. Stiffness lasting longer than 60 minutes is a common symptom of rheumatoid arthritis.

Another characteristic of autoimmune diseases is that they tend to be associated with what are called systemic symptoms, or symptoms that appear throughout the body. These symptoms include fever, fatigue, loss of appetite, and malaise. These general symptoms of illness are due to the chemical messengers released by the immune cells when they are activated.

Differences between rheumatoid arthritis and osteoarthritis

"Arthritis" is a general medical term encompassing roughly a hundred different diseases of the joints. In the past, the term "rheumatism" was used to refer to a nonspecific joint disease.

Rheumatoid arthritis and osteoarthritis

Osteoarthritis, also known as degenerative joint disease, is by far the most common form of arthritis. Rheumatoid arthritis affects roughly one-tenth as many people as osteoarthritis. The most significant difference between osteoarthritis and rheumatoid arthritis is that the two have completely different causes behind the breakdown of cartilage in the joint. Osteoarthritis is caused by mechanical wear and tear on joints. By contrast, rheumatoid arthritis is an autoimmune disease, in which the body's own immune system becomes active against itself, leading in this case to cartilage damage.

How can osteoarthritis and rheumatoid arthritis be distinguished?

Three symptoms are very different in osteoarthritis and rheumatoid arthritis and can help tell the difference between the two.

Location:
Since osteoarthritis is caused by wear and tear, it most often affects the weight-bearing joints, such as the knees and hips, or the fourth and fifth finger joints or thumbs.
Rheumatoid arthritis is caused by a body-wide immune reaction that can affect joints regardless of how much weight they bear or how often they are used. It tends to cause the greatest problems in smaller joints, such as the hands, balls of the feet, wrists, and elbows.
Rheumatoid arthritis tends to affect the same joints on both sides of the body, since it is due to chemicals that flow to the whole body through the bloodstream.
Stiffness:
People with osteoarthritis may feel stiff upon first awakening or starting to move an arthritic joint, but the stiffness usually goes away within 30 minutes. However, stiffness will return at the end of the day or after periods of activity.
People with rheumatoid arthritis may feel stiff all day long, due in part to swelling of the involved joints.
Fatigue, fever, or weight loss:
These symptoms of rheumatoid arthritis occur all over the body (systemic symptoms).
Since osteoarthritis is caused by a problem local to the joint, body-wide symptoms are less likely to occur.

Can you have both types of arthritis simultaneously?

It is quite common to have both osteoarthritis and rheumatoid arthritis at the same time. Osteoarthritis affects the majority of elderly people. Rheumatoid arthritis is less common, affecting around 1% of the population. The majority of people with rheumatoid arthritis may develop osteoarthritis eventually, since joints damaged by rheumatoid arthritis may be more susceptible to the development of secondary osteoarthritis.

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Fitness: Getting Started is the Goal
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No matter how much we train, we're always searching for that extra edge. Perhaps it's trying a new move or a sweatier program, or maybe it's finding the wickedest abs class or the cushiest running shoe. Every advantage helps us work out smarter and make our bodies stronger. And one of those key advantages is to match your workout time to your body's needs. "The time of day you work out is critical; it can help you avoid injuries, produce a peak performance, and enjoy, not dread, your workout," says Michael Smolensky, Ph.D., professor of environmental physiology at the University of Texas School of Public Health at Houston. That's because your body's circadian rhythms the series of physical and mental highs and lows that repeat every 24 hours can influence your energy level and ability to exercise. We know it's not always possible in an I-needed-it-yesterday world, but if you can tweak your schedule and match your workout to your body's physiological patterns, then you'll make the most of your body clock and your body.

MORNING (6 to 9 a.m.)
Your body does this Aside from your heck-raising alarm clock, there are a few other things you've got going on when you wake up. For one, your core temperature starts to rise (that upswing would wake you up naturally if the clock didn't). But because you've been sleeping, your muscles are stiffer than a Friday-night martini, and your heart rate has slowed to about 60 to 80 beats per minute. To top it off, your joints are 20 percent less flexible than they are at the end of the day because you've been lying still all night, Dr. Smolensky says.

The Best Morning Moves

Catch your muscles up. Warming up is always important, but morning tightness makes you even more prone to injuries when you're exercising. "If it's 30 degrees outside, you warm up your car before you take it on the highway, and your body needs to be treated the same way," says Warren Franke, Ph.D., professor of exercise physiology at Iowa State University. He recommends 10 minutes of easy movement: Do 10 sun salutations or hop on a bike for 8 minutes and then do three sets of 10 low-bench or stair stepups (step up and back down, alternating legs).


Hit the road. Morning is the best time for aerobic endurance activities like running and cycling because your lower heart rate allows you to go longer, farther, and harder and not sputter out like a Pinto with an empty gas tank. The lower your heart rate, the longer it will take to hit that screw-this-workout wall that comes when approaching your max rate. Bonus: Your brain naturally underestimates time when your core temperature is cooler because it doesn't process information as quickly, Dr. Smolensky says, which means your long session won't drag. That means you should schedule your long weekend cardio sessions for first thing. Burn fat and calories with 45- to 60-minute sessions, and keep up a pace where you can hum a tune or carry on a conversation with short sentences.

MIDDAY (10 a.m. to 2 p.m.)
Your body does this Your body temperature has risen, meaning that your circulation has improved to better deliver oxygen to your brain and muscles. "The higher oxygen level in your blood improves your reaction time, muscle strength, and hand-eye coordination," Dr. Smolensky says. But after 2 p.m., you might experience a post-lunch dip, and your ability to use your muscle strength could drop. "Although it hasn't officially been proven, researchers speculate it's because of your sleep cycle. You're groggiest around 2 a.m., and the cycle probably repeats itself every 12 hours, starting again around 2 p.m.," says Chris Maund, a corrective exercise specialist in Encinitas, California. Exercising now will also improve your late-day performance at work because the increased blood flow to your brain makes you mentally sharper, Dr. Smolensky says.

The Best Midday Moves

Add intensity. A 30-minute strength circuit with minimal rest (60 seconds or less) between sets will get your blood gushing at maximum levels, which will help prevent the post-lunch energy drop. Gregory Florez, aspokesperson for the American Council on Exercise, recommends a full-body circuit including chest presses, lat pulldowns, shoulder presses, lunges, biceps curls, tricep kickbacks, crunches, and back extensions. Do 15 reps of each exercise consecutively, and cycle through the circuit twice.


Play ball. Take advantage of your improved coordination with sports like tennis. "Racquet sports also require you to stop and start a lot, so you train your reaction time and work at a high intensity in short bursts of time, which can improve your energy level," Florez says. If you can't use your whole lunch hour, play for at least 30 minutes to stimulate your energy-boosting endorphins.

LATE AFTERNOON/EARLY EVENING (3 to 8 p.m.)
Your body does this By now your core temperature has risen faster than Dr. McDreamy's popularity. It's as much as 3 degrees higher than it was in the morning, so your flexibility, muscle strength, and reaction time are peaking. Your higher body temp corresponds with an increased tolerance for pain, Dr. Smolensky says. Not that you should squirm like a toddler-tortured caterpillar during a workout, but now's the time to push your limits. For best results, try not to exercise too late. "Working out after 9 p.m. can rearrange all of your biological rhythms and affect the quality of your sleep," Maund says. "Your body releases a human-growth hormone while you sleep, which is responsible for repairing and maintaining muscle."

The Best Evening Moves

Be explosive. Your power levels are at their highest, so make the most of them by going hard and sweating like a wool-wearing Floridian. Do spinning class for cardio intervals or lap sprints in the pool (or play team sports like soccer and basketball, which require intense bursts of speed). French researchers found that a swimmer's stroke length, rate, and velocity were 3 to 7 percent greater at 6 p.m. than at 8 a.m. You can also use and increase your power by doing plyometrics or jumping rope for 10 intense 1-minute intervals (with 30 seconds of rest in between).


Loosen up. Take advantage of your higher body temperature and do yoga to enhance your flexibility. Or do 15 minutes of static stretches to relax. To stretch your hamstrings, hips, and back areas that tend to get tight after a day spent boxed into a cubicle, try three sets of the Straddler. Sit with your legs wide apart and reach your left arm up and over your head. Lean sideways to the right, over your right leg. Hold for a minute and feel your back stretch all along your left side. Next, release and bend forward, reaching as far as possible with your fingertips. Hold for a minute. Then stretch over your left leg, reaching your right arm up and over to the side. Hold for another minute and release.

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