How’s Your Heart?
A new risk factor has joined smoking and cholesterol as a contributor towards heart disease. If you have high levels of homocysteine – an amino acid – in your blood, you could have three times the risk of heart disease as people with high blood pressure as well, that increases your risk even further.

The good news is that changing your diet could help reduce the risk. High levels of vitamins B12, B6 and folate seem to go hand in hand with lower levels of homocysteine and may act to protect you against heart disease.

Experts say that people at risk of heart disease should include in their diet plenty of green leafy vegetables and fruit, and look for folate-fortified breakfast cereals and other folate-rich foods. Fish, poultry, eggs and lean meat are good sources of vitamins B6 and B12.

On the other hand, a lot of medicines have been developed to ease complications associated with cardiovascular disease. Bothersome side-effects produced by such drugs have prevented patients, and doctors alike, from obtaining maximal benefits from these treatments. The solution lies in the development of an effective drug that does not induce adverse reactions to the treatment.

One such orally active specific angiotensin II antagonist drug is losartan. After more than two decades, losartan is the first in a new class of angiotensin II antagonists indicated for the treatment of hypertension.

Angiotensin II plays a key role in hypertension as it causes blood vessel constriction, release of aldosterone (responsible for water retention and volume increase) and mediates all known cardiovascular effects through binding to the angiotensin II receptor.

Losartan blocks all physiologically relevant actions of angiotensin II at the receptor site, thereby decreasing angiotensin II actions in a specific way. Controlled clinical trials show that losartan controls hypertension with the same efficacy of side effects similar to that of placebo.

The approach to handling cardiovascular disease has steadily improved with the development of more efficient pharmaceuticals and medical programs. And now, it is not just a matter of treating the cardiovascular disease; the emphasis is also on helping patients get through their treatment with comfort and ease. The benefits of angiotensin II antagonists like losartan have placed heart patients and their physicians in a better position to manage their health condition, knowing that patients are afforded the convenience and security they need.

Garlic – Natural Medical Aid in Hypertension

Studies show that garlic is known to help fight against high blood pressure and hypertension. Here is a garlic soup recipe that can be considered as natural medicine.

Serious Garlic Soup

Ingredients:
1/3 pound garlic (4 to 5 heads)
4 cups chicken or vegetable stock or water
4 cups water
1 tsp. dried thyme
1 tsp. dried rosemary
1 bay leaf
½ tsp. fine sea salt, plus more to taste
Freshly ground black pepper
2 tbsp. minced parsley
¼ cup freshly grated parmesan cheese

Procedure:
Separate the unpeeled garlic into cloves and put them on a cutting board. Using the side of a cleaver or the bottom of a large, heavy pan, press the cloves firmly until they are somewhat smashed. Discard the excess papery skins, but do not peel the garlic.

In a heavy 4-quart or larger saucepan, mix the flattened garlic cloves, stock, water, thyme, rosemary, bay leaf and ½ teaspoon salt. Add a few grinds of black pepper.

Bring to boil and boil gently for20 minutes, or until garlic is soft enough to smash against side of pan with the back of a spoon.

Pour soup through a fine-mesh sieve set over a large bowl, pressing down with a wooden spoon to extract all liquid. Or put soup through a Mouli food mill. Discard solids.

Return strained soup to saucepan. Reheat briefly, adding more salt if desired, and pepper to taste. (The soup may be frozen at this point.) Serve piping hot; just before serving, sprinkle with parsley and Parmesan. Yield: 4 servings

Hepatitis A is the most prevalent of the known types of hepatitis, a liver disease caused by a virus known as Hepatitis A. It infects millions of people around the world every year, with immense impact on medical and healthcare expenses. There is a greater chance of getting the disease in certain areas around the world that shows higher endemicity. Some countries in Southeast Asia are vulnerable to this type of disease.

Hepatitis A is characterized by the following symptoms: lack of energy, diarrhea, nausea, abdominal discomfort, jaundice (yellowing of the eyes and skin), light stools and vomiting.

The course of Hepatitis A is often short, but in severe cases where the damage to the liver is extensive, the disease may keep the patient in bed longer. Some cases eventually end in death.

Hepatitis A is especially rampant during the rainy season due to the occurrence of floods, where viruses generated by human excrements, including HAV, mix with the water supply and infect unsuspecting people who drink contaminated water or ear contaminated food. HAV is wide-spread in places with poor environmental sanitation, poor water supply and unsanitary food practices.

Hepatitis A can be prevented by eating well-cooked food and drinking distilled or fully boiled water especially during the rainy season when contamination of water supply is very common. Hands must also be washed thoroughly before eating and after using the bathroom.

Aside from good personal hygiene, proper sanitation, safe food processing and provision for safe, potable water, people – children especially – are warned not to buy food from street vendors who often neglect hygienic food handling practices. It has been observed that schools have become the most common venue of Hepatitis A outbreaks.

There is already an effective and safe vaccine that offers protection against Hepatitis A which has been developed after ears of research and development. The vaccine is available in numerous clinics and hospitals in the country. It is best to play safe by preventing Hepatitis A infection through vaccination.

Disease of swine influenza infection in the United States and Mexico recently to attract the international community, including the Indonesian government that directly improve and strengthen disease surveillance, control traffic in the air and seaports to anticipate the distribution.

Swine influenza, or “swine flu” is the first disease is acute respiration on the spread of swine caused by a swine influenza viruses, including influenza virus type A subtipe H1N1, H1N2, H3N1, H3N2.

Figures pain due to infection of the virus spread among pigs through the air with both contact directly and indirectly with the swine virus is likely to cause high on the pig population but the mortality rate due to this disease is low, between one percent to four percent.

Swine flu outbreak in the animal population is generally increasing throughout the year with events in the autumn and cold.

In addition to pigs infected with influenza virus type A subtipe H1N1, pigs can also be infected with avian influenza virus H5N1 (bird flu) virus and seasonal influenza or influenza viruses that normally attack people. Sometimes even pigs can also be infected by more than one type of virus in one time.

Condition that allows the virus-the virus mixed with each other and create a new strain of virus from several sources (reassortant virus). This is, among other swine flu virus to create a specific and normally only menginfeksi pigs can sometimes limit species penetrate and cause illness in humans.

Gen. extraordinary disease of swine influenza infection in humans have been reported several times occur. Human flu are usually contagious from pigs and pork, even though very few, of the person associated with the infected pigs or pig farming environment.

Cases of swine flu from human to human occurs alone in some cases but is still limited to close contacts and a group of people only.

Until this time there is no evidence that indicates that the swine flu spread through food, in this case and pork products in the turunannya and cooked properly, so stay safe mengonsumsi products.

In addition, the swine influenza virus die if cooked at a temperature of 70 C derajad, in accordance with the general process of meat.

Symptoms of swine flu in humans are generally similar to the symptoms of influenza virus infection that usually attacks the human fever more than 37.8 centigrade derajad, sore throat, cough, runny nose, headache and pain.

Typical clinical presentation of swine flu infection in humans similar to inluenza common respiratory tract infections and on the other make the most of the case is not detected from the influenza surveillance, so that occurrence of disease in humans is not known globally.

Preventive action, among others, could do with avoiding contact with people who are sick, cover your nose and mouth when coughing or sneezing, washing hands with soap and water, as much as possible avoid contact with others during flu and seek medical help if severe pain to get treatment .

The risk of pandemic

All people, especially those who do not regularly make contact with pigs, does not have immunity against swine influenza virus can prevent viral infection of pigs so that if the virus becomes infectious virus efficiently from human to human then the potential to cause pandemic influenza.

However, according to the WHO in its impact is still difficult to predict, depending on the virus of violence, the human body immunity, protection by antibody cross-needed body of influenza infection and seasonal factors wet nurse.

While the vaccine can protect people from flu virus infection of pigs up to now have not yet.

Influenza vaccine that is normal at this time was not yet evident efektifitasnya in providing protection against influenza infection of pigs.

WHO relations with all of the various institutions still continue to do research to find out the effectiveness of the vaccine in the prevention of swine flu.

Handling cases influenza can be done with the antiviral drugs for influenza disease that usually consists of two classes of adamantane (amantadine and remantadine), and neuraminidase influenza inhibitor (oseltamivir and zanamivir).

But the WHO says has not yet enough information to make recommendations about the use of antiviral drugs in the prevention and handling of swine flu infection.

According to the organization, klinisi must make decisions based on clinical assessment and by taking advantage epidemiologis and the danger of using antiviral drugs as prophylaxis or treatment for the patient.

Flu outbreak in pigs in the United States and Mexico, local authorities recommend the use of oseltamivir and zanamivir for the prevention and treatment, but such cases of swine flu were reported there recently can generally be cured without any special medical needs and the provision of certain antiviral drugs.

Are swine flu?
Swine flu is a respiratory disease that infect pigs. Caused by influenza type A, outbreaks of disease in pigs occurred regularly with high-level cases but rarely to be fatal. This disease tends to infecting in spring and winter but the cycle is a year-round. There are many types of flu and swine flu in humans as this disease is constantly changing.

What can people infected swine flu?
Swine flu does not usually creep in humans, although sporadic cases also occur and are usually associated with pigs. Notes on cases of transmission from human to human is also very rare. Human transmission of swine flu in humans is estimated to spread like seasonal flu – through coughing and sneezing. In the present outbreak occurred is not yet clear whether the disease is transmitted from human to human. Symptoms of swine flu in humans appears similar to the symptoms of seasonal human flu.

Is this a new type of swine flu?
The World Health Organization, WHO, confirming that at least some cases is a version of H1N1 influenza A type that never existed. H1N1 is the virus that causes seasonal flu in humans on a regular basis. However, most new versions of H1N1 is different: the virus load is typical of the genetic material found in viruses that infect humans, birds and pigs. Flu virus has the ability to exchange genetic component to one another, and likely a new version of H1N1 is the result of the combination of various different versions of the virus that occurred in one animal source.

Is it safe to eat pork?
Yes. There is no evidence of swine flu spread through the consumption of meat of infected animals. However, the meat must be cooked well-done, the temperature 70 Celsius will kill the virus. 

Whether citizens should be worried?
When shown a new type of flu that has the ability to spread from human human authorities mengawai carefully to see if the cause has the potential pandemic. WHO warns of cases in Mexico and the United States can potentially cause a global pandemic and affirm this situation seriously. However, the WHO says is still too early to assess the situation accurately. Currently, the WHO says the situation is almost approaching the pandemic flu than the years since 1968 – is a three-level ancamannya scale of six.

No one knows the impact of pandemic disease fully, but experts warn the victim died can reach millions of people around the world. Spanish flu pandemic, which began in 1819 and also caused by the H1N1 virus, killing millions of people.

The fact that the cases in the United States so far showed symptoms of light is good news. While the outbreaks in Mexico parahnya likely caused by factors that are not always the small possibility that occurred in other regions of the world. However, the fact that most of the young victims of a show that does not baisa. Seasonal flu usually tend to engulf the old age.

How about the treatment and vaccine?
United States government says the two drugs used to treat flu, Tamiflu and Relenza, seems effective in the cases that occurred so far. Uncertain effectiveness of flu vaccine that is now there to protect people from this new virus, because the genetic type of flu is different from the others. United States scientists have developed a new vaccine, but needed time to refine and produces in the amount sufficient to meet demand.

How about the bird flu?
Type of bird flu that causes death in Southeast Asia in recent years is different from the type of flu that is now infecting pigs. New forms of swine flu is a new type of H1N1, while bird flu is H5N1.
Experts fear H5N1 as a potential cause pendemi ability bermutasi quickly.
But until now the disease is still a bird disease. Those infected are those associated with poultry and cases of transmission from human to human is very rare – there are no signs that H5N1 can spread from human to human easily.

Diabetes mellitus (DM) is often called the common people “diabetes”, is the amount of interference that has characteristics typical main high sugar in blood. Diabetes means “continue” because penderitanya always drink a lot and in the amount, and then continue the form alias urin urine.

While mellitus means “sweet”, because urin penderitanya contain glucose aka blood sugar that taste sweet. TO basically, DM caused by the hormone insulin that is not patient enough or not effective, so can not work normally. In fact, the normal person, insulin has major role in managing blood sugar; approximately 60-120 mg / dl in the fasting state, and below 140 mg / dl at two hours after eating.

There are two categories of the most common choices, ie, diabetes type 1 and type 2 diabetes. Diabetes type 1, the DM diidap by 5-10 per cent patients, usually occurs in children or young adults. While type 2 diabetes, the DM diidap by 90-95 percent of all diabetics, increased in number, especially in minority populations.

Diabetes found in all populations and age groups, but the increase in the number of elderly people in the groups (elderly) and people of color, Hispanic, native American, and Asian people. The Congressionally-Established Diabetes Research Working Group (1999) reported that although mortality due to diseases of cancer, stroke, and kardiovaskular tended to decrease since 1988, mortality due to diabetes increased about 30 percent.

Age life expectancy of those who suffered from diabetes on average 15 years shorter from those who do not suffer. In Indonesia, especially in the communities of the city, a diabetes disease are prominent at this time. Research finds Waspadji 1982, 1.7 percent have diabetes patients in Jakarta, in 1992 and increase to 5.7 percent. Epidemiology research in Jakarta in 2001-working together Perkeni (Association Endokrinolog Indonesia) and the Ministry of Health, the number of people with diabetes have 6.2 percent. (Kompas, 5 November 2001). Most diabetes cases in Manado in Indonesia found that reaches 6.1 percent. (Kompas, May 29, 2002).

Based on the notes WHO in 1998, the number of diabetics in Indonesia was ranked to 6-most in the world after India, China, Russia, Japan and Brazil. Number of diabetics in India will increase to 12 million in the year 2025. The increase of 250 percent of the 5 million people in 1995 was due to the increasing elderly population and changes in the pattern of life, from the type of food consumed to the reduced physical activity.

For many centuries, more than 400 plants recognized as a successful “cure” diabetes. In Europe, Asia, and the Middle East, raw onion has been used as food favorite option for controlling blood sugar. In Puerto Rico, Cuba, and Santo Domingo, untouchable have been used widely as a “cure” for traditional diabetes.

Current studies demonstrate that consumption of high fiber foods, especially soluble fiber, may improve control of blood sugar in people with type 2 diabetes. Studies performed by dr Manisha Chandalia and colleagues-colleagues from the disease In Science and Human Nutrition Center, University of Texas Southwestern Medical Center, Dallas, United States. Property tolbutamide in onion Onion has long occupied a place in the respected medical science as “drugs” diabetes.

Modern research shows, red onion has “strength” reduce blood sugar, charged and held in the degree that is found in food. The researchers who conducted the Indian red onion, such as juice and red onion “rounded” alias still intact, as much as 25-200 grams of ditelitinya on the subject, the more that get the onion is given, the greater the blood sugar decreases.

There is no difference between the raw red onion and red onion that has been boiled. According to the theory of the research team, onion affect sugar metabolism in the liver, metabolism or insulin release, and / or insulin to prevent vandalism.

“Agent” who may have the ability hipoglikemia, lower blood sugar, it is active allyl propyl disulfide and allicin. Clinical and experimental evidence indicates that allyl propyl disulfide lower blood sugar in a way to improve “the living” (lifespan) insulin. In fact, already since 1923 scientists-scientists detect depressor there is sugar in the blood red onion, and in the 1960s, researchers successfully isolate compound antidiabetes of onion that work similar to pharmaceutical drugs antidiabetes general, known as tolbutamide, which is often used to reduce blood sugar.

How it works is that tolbutamide stimulates insulin synthesis and expenses. In the rabbit experiment, the extract of onion, 77 percent of the effective dose with standard tolbutamide. Other research results show, the effects of onion have lower blood sugar and fat. Therefore, it is recommended to add the onion to the food in each meal. Onion can be used after meals in the amount of free.

Soluble fiber in foods naturally high blood sugar is the main problem in diabetes. Research proves that the fibers have a strong effect on blood sugar control. In the studies conducted Chandalia et al, 13 people with type 2 diabetes are the two types of diet, each for six weeks. Diet is a diet that contains moderate amounts of fiber (24 g total fiber, 8 g fiber and 16 g soluble fiber is not soluble), as recommended American Diabetes Association.

Meanwhile, the second diet is high fiber diet (50 g total fiber, each 25 g fiber and soluble fiber is not soluble) containing the natural order of food laden fibers. Both diet, prepared in the kitchen of research, contains vitamin macro and the same energy (see Table). Chandalia dkk then compare the effects of these two dietary control of blood sugar and blood fat level.

The result? Patients-diabetics mengonsumsi of 50 g total fiber per day with 7 to 8 portions fruit and vegetables alias-fiber diet high blood sugar have a lower and more stable than people-diabetics who mengonsumsi moderate fiber diet.

High-fiber diet also lower total blood cholesterol level about 7 percent. Precisely how the mechanism of high-fiber foods can improve blood sugar control, have not been clear. However, it is alleged to be caused by the type of soluble fiber gum and pectin can slow the drain side, and even slow or reduce absorption of blood sugar.

Chandalia et al study also showed that the Feed (intake) soluble fiber that may be achieved with high mengonsumsi laden natural food fiber. High-fiber diet and a few side effects can be well received by the patient. Therefore, to increase consumption of fiber, the people with diabetes are encouraged to mengonsumsi laden food natural fiber compared with the preparation or fiber supplements.

Food-laden food fiber that is used for high-fiber diet in the research Chandalia and his friends is a fruit dish koktail, fresh oranges, fresh pineapple, fresh papaya, peach fruit (peach) fresh, cherry fruit, fresh tomatoes, corn, zucchini, green beans, whole-wheat bread, and havermout (oatmeal and oat bran).

Formula Tinnitus. Tinnitus with the best deal in the case of a warning sign for something and maybe worse is annoying.) Stress, noise, ear canal and to the risk of nerve damage, tumors and diseases to exit, there are several possible reasons are.

General reasons, the inner ear injury is very low, the treatment of tinnitus and stress related injuries are called cochlear. Tinnitus can be cured but not all there is something that can reduce some symptoms are formulas. You either to cure or reduce tinnitus tinnitus cochlear damage due to the formula can use. Tinnitus formulas immediately, and more accurate treatment of the injury and then to reduce the intensity of normal hearing tinnitus support a healthy body, you are not able to open. Tinnitus Formulas are the natural and built to solve different side effects from drugs can heal.

If one is suffering from this form of tinnitus, but could be better than all the noise and cured.Loud cochlear damage may not be old age of cochlear damage are common reasons.

Frequency of exposure to loud noise is also very important. Noise of constant stress and prolonged exposure to permanent cochlear damage may be due.

Such is the pressure loss of the wax, ear infections and external ear canal to the entrance of goods exerted additional reasons. Stress that can lead to tinnitus is a common thing. In our body to develop and support the body to maintain health instead of harmful chemicals in the case of stress begin secreting chemicals.

Tinnitus, including a buildup of many harmful chemicals can cause health issues. And symptoms of a never-ending cycle and you start in the form of tinnitus that more emphasis be worse. Tinnitus is stress that plans for a natural chemical balance and to also corrupt or can take time away from your body during tinnitus can help the symptoms of tinnitus inspired to help build on are doing.

Tinnitus treatment on all can not be tinnitus formulas for the performance of the patients can. Finding a lot because of your symptoms treatment can be tailored for you is important. In fact, the right formula tinnitus can be effective if you give them the answer to the type of tinnitus. As they are made of natural materials and also in the form of any harmful side effects due to a variety of drugs because pharmaceutical formulas for Tinnitus is not a very good option could be.

“Two years ago, after the home school, suddenly Ratih fainting after vomiting continuously. I panic and decide to bring them to the clinic. At the clinic, the doctor usually does not let the diagnosis even secarik issue paper to refer my child to private hospitals in Jakarta. I also bring Ratih there, by the doctor after a child, I know if my child is suffering from diabetes. I do not know how perasanku at that time. I’m confused why diabetes can occur in the son. I thought, I diabetes occurs in adults only. It is the story Suwardi (49) and her son Ratih (13) which is a diabetes sufferer. Currently, Ratih returned recover despite still suffering from diabetes and still perform outpatient month in each division Endokrinologi Children, Cipto Mangunkusumo Hospital.

Ratih is one of hundreds of children in diabetics. Diabetes incidence in children in the world that is experiencing increasing trend to reach 17 per 100,000 children per year. In Indonesia, according to dr. B Pulungan safe, the head of the task force Endokrinologi Indonesian Children Doctors Association says diabetes mellitus incidence in children in Indonesia, estimated at 0.3 per 100,000 children per year. Indonesia has a population of 80 million children a number of children, so there are estimated 240 new cases of diabetes mellitus children per year.

Diabetes in children is a unique case. As simple as going to friends’ birthdays, play, and spend the night at friend’s house also require the preparation of cooked. Checking blood sugar, provides the appropriate food menu, and use insulin or other drugs can make a child feel different from friends sebayanya for them and this is felt to the very. Ratih gleeful child who is diagnosed before diabetes, but after the pain, he does not want to again play with his friends because he feels different from her friends. “Affected by diabetes before, he played on a bicycle around the housing with a friend.” Summary study at the school also disrupted. “Ratih lazy to learn, easy to feel he was weak after the study is only 10 minutes. Value and the ranking also fell down very dramatically, “Ratih is not big 10 ranking in its class since the illness,” said Suwardi. Adapting to the disease for a child is not easy. Suffering from chronic diseases such as diabetes can be a challenge that sometimes emotional menjurus to the depression. Consult denganpsikiater or psychologist can help children and their families adjust to lifestyle changes after the sick.

Family support for children with diabetes is the main and effective. Education about diabetes should also involve the family. Family can be a motor with a doctor, edukator diabetes, nutrition experts, and other health workers in helping children in the management of diabetes day-to-day. Family educational background is another interesting issue. Educational background of families especially parents who can lower the child’s condition impedes improvement. Parents are key to success in the handling of diabetes in children because children are still not able to manage themselves. Parents need to understand what diabetes is treated, the handling gizinya, prevention is not to fall into a kegawatdaruratan diabetes, and handling the first case of keadaaan emergency. Family members, teachers, nurses, counselors, and community can provide information, support, guidance, and assistance to help children and families adapt to diabetes. Families also should be given the understanding of other important things in the handling of diabetes such as funding, social services, and counseling.

Another thing that must be considered in children with diabetes is a problem of funding. Diabetes is a disease that does not take a bit of funds and financing dalm things as the cost of expensive drugs and methods pendeteksiannya. Yati, one of the parents of children with diabetes, if the cost is very expensive berobata diabetes. “I have to pay up to five hundred thousand rupiah to buy only once in the drug and that it is very heavy for me. I do not work and my child’s medical expenses borne by my oldest son, who works only as a restaurant waitress. Yati Askeskin not have a card so he had to pay almost 100% of the cost of treatment. Askeskin card is the card that belongs to a poor family in Indonesia that make the cost affordable so pengoabatan. Reason Yati Askeskin card does not have a bureaucracy that is why make the card itself Askeskin such as making a long time and have to pay for administration. But, the story of another dituturkan Suwardi. He has a card Askeskin since three years ago when her son diagnosed diabetes and happy because it costs almost entirely by the children by the government.

Diabetes is a condition that creates stress for children and families. Parents must be vigilant akan sign – sign of depression or eating disturbance ketidakmauan or use insulin. Parents must menasehati children suffering diabetes to avoid cigarettes, alcohol, and substance psikotropik or adiktif because other people are smoking on the risk of diabetes akan menungkatkan coronary heart disease affected far more than the normal person. Transition to the child that does not depend on parents to depend on age and level maturitas child and this happens gradually. Most school age children can recognize symptoms of lack of blood sugar (hipoglikemia) and able to use the tool monitor blood sugar and can be involved in the selection of food.

Camping peer groups and children with diabetes can be a vehicle positive role models and group activities. Penyemangatan friends from the same boat together sometimes suffer diabetes can help children do things related to treatment of diabetes before they are afraid to do. Talking with other children who suffer diabetes can help children feel less isolated and does not in itself a disease, so bring enthusiasm in the diabetes treatment. Children have the opportunity to discuss about the problems they face and can also share how the problem solution. Often this activity is physically challenging children and teach children how to confront the many activities and recognize that diabetes should not limit their activities to become useful people in society.

Team cooperation

Because diabetes does not only cause physical problems but also the child’s emotional needs penatalaksanaannya handling the holistic integration of the physical and psychological aspects of the needs of children. Children who go on the handling of young people must also consider the condition of psychic teenagers who consider autonomy and independence of teenagers. Handling of diabetes in children and adolescents harua provided the team can handle the conditions of the special aspects of treatment, education, nutrition, and behavioral aspects. Handling of diabetes can not come only once but must continuously.

Things that should not be overlooked from the dialogue with Suwardi at the beginning of this article is the importance of the campaign penyadaran to general practitioners as health care level first. Umu doctors as front guard of health care services need to know that diabetes can also occur in children and general practitioners also need to know the first step in the handling of diabetes in children. Society must also take part in this campaign because they are also entitled to know that the Son can be affected by diabetes. This is why the diabetes organizations, the World Diabetes Foundation (WDF) states that the 14 November this year which is the world diabetes day more focused on diabetic children.

Each 14 November, we commemorate the day diabetes world. Almost every year, the theme of the day handling of diabetes is diabetes in adults, but this year’s theme of warning that is very different in diabetic children and adolescents. Why? Because diabetes cases in children and adolescents increased each year and often people still have opinions, that diabetes can only occur in adults. Each year kampaye only awareness that diabetes can occur in adults and have not been telling the children about diabetes. November 14 this should be a different day for diabetes in Australia with mengakat topics in child diabetes. All elements of society ranging from doctors, health, government, parents and other elements of society must participate actively take part in the campaign of awareness about diabetes in children and adolescents. The goal is bring to the public that diabetes can occur in children and young people and bring that number incident diabetes in children increasing.

The government also can not stay silent. They can facilitate the campaign about diabetes in children. Government can also create rules that provide facilities for children with diabetes. Such as the United States government has made regulations which made it easier on the children with disabilitas including children with diabetes. Regulation states that students who suffer diabetes are given lessons in a safe environment and provide equal access for each student.

If the burden of the health sector with Indonesia increasingly the rising number of diabetes cases in children, Indonesia is in great danger for the young generation. Hopefully, this year’s campaign can increase awareness of each element of society, including policy makers, health system managers, schools, non-government organizations on the issue of diabetes mellitus in children and adolescents in Indonesia. To increase public awareness about diabetes in children and adolescents in Indonesia is still needed in the figure that is known to the wider community can become role models who can make people interested and pay attention.

H y p er t e n s i o n – high blood pressure – one of the main causes of preventable illness in our society. It is responsible for many strokes, heart attacks and cases of kidney disease.

This problem is common, being present in about one in six men, and one in eight women, between the ages of 25 and 64. Unfortunately most people with hypertension feel perfectly well and have no idea they have this potentially lethal condition.

Blood circulates through our bodies in a network of vessels known as the vascular system. The heart acts a pump, continually pushing blood around the system.

When blood pressure is measure two figures are recorded, for example 120/80.

The higher number is the systolic blood pressure. This measure of the highest pressure in the system which happen with each contraction of the heart.The lower figure – diastolic pressure – is the pressure in the system between heartbeats. If either, or both, of these level are too high, hypertension is present.

There is still debate among doctors about exactly what levels of blood pressure should be considered too high, and when treatment is needed. For this reason hypertension is often classified into three groups: mild, moderate and severe.

In general terms concern is felt when the systolic pressure is much above 140 and the diastolic above 90. Obviously in more serious cases (for example 200/110) there is no difficulty in deciding that treatment is necessary.

S o m e t i m e s hypertension occurs as a result of other diseases, particularly kidney disease. But in most cases there is no obvious cause.

Mild hypertension can often be treated by changes to life style. Weight loss and increased exercise can make big difference for some people. But in most cases of moderate and severe hypertension treatment with drugs is necessary usually forever.

It is not a disease that can be cured, but it can always be controlled.
A wide variety of drugs is now available and treatment can be tailored to suit the particular patient. For some, blood pressuremay be well controlled with single tablet once a day.

Other may require a combination of several different drugs to control their blood pressure. Newer treatment generally have far fewer side effect than the drugs originally used to treat hypertension and most people continue to live normal lives with the small inconvenience of having to take one or more tablets every day.

It is sensible for all adults to have their blood pressure checked occasionally. If the level seems high the doctor will want to re-check and if the level remains high investigations and treatment may be necessary.

By controlling blood pressure and addressing other risk factors such as smoking, obesity, lack of exercise and cholesterol in the blood, many lives will be prolonged and strokes prevented.