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Health, Wellness, Exercise, Reflections:HIV Is 'Like Diabetes'? Let's Stop Kidding Ourselves
John-Manuel Andriote - Huffington Post - 01/31/2012
My antenna perked up when I read a gay man's comment that HIV infection is essentially no big deal anymore. "It's like diabetes these days," he said. As an HIV-positive 53-year-old, familiar with the health details of some near and dear diabetics, and having just written an article about the type-2 ("adult onset") diabetes epidemic, I'd say this: we need to choose our analogies carefully.
A naïve image of type-2 diabetes is understandable if your perception is based on the trim, middle-age joggers touting their finger-stick tests and blood glucose meters in TV commercials during the evening news. In actual fact, diabetes is the seventh leading cause of death in America. As many as 7 in 10 people with diabetes will die of heart disease or stroke. In 2007 diabetes killed or contributed to the deaths of 231,404 deaths in this country alone, and this year the World Health Organization projects 3.2 million worldwide will die from diabetes. Diabetes is also the leading cause of blindness. One of every 50 people with diabetes will be blind within 15 years. It's the top cause of kidney failure. In 2008 a total of 202,290 people with end-stage diabetes-related kidney disease depended on dialysis or a kidney transplant to stay alive. Diabetes is behind most non-traumatic lower-limb amputations. Thirteen million men in the U.S. over age 20 -- 11.8 percent of all adult men -- have diabetes. Among women, 12.6 million, or 10.8 percent of all women over age 20 have it. An estimated 7 million Americans are believed to have diabetes but don't know it. The percentages are highest among blacks, Hispanics and Asian-Americans.
Sure it's possible to manage type-2 diabetes once someone has a diagnosis and is aware that their pancreas isn't producing enough insulin to regulate their blood sugar. It's even better to prevent diabetes by reducing the behaviors that lead to obesity, the number-one cause of type-2 diabetes. At best, someone with type-2 diabetes can commit to a strict regimen of healthy eating and exercise that for some has reversed the disease to the point that they need no more medication. The American Diabetes Association says that five years of normal blood glucose readings without medication can be considered a "complete remission." Many more, however, struggle to alter their longtime eating habits or make time for exercise as basic as walking. Without making the changes it takes to successfully manage diabetes, they pit their medication against their poor nutrition and sedentary habits and hope for the best. They may be diligent about taking their meds and keeping their many medical appointments, but even the labels on the diabetes medications explain that they are to be "used along with diet and exercise," and, on some meds, "weight loss."
We need to banish the notion that HIV infection today is "like diabetes," in spite of their similarities. Consider:
Both are transmitted through intimate behavior, one through sex, and the other, frequently, through family habits passed down over generations. Both diseases are alike in that they are best avoided and challenging to manage. They both cost a great deal of money for medications, medical specialists, and lab work. Certainly, HIV and diabetes each could destroy your health and likely kill you if they aren't properly managed. As for people with type-2 diabetes seeking to manage their illness, a healthy diet and exercise strengthen an HIV-positive person's ability to handle the daily impact of toxic chemotherapies; the hassle of medical appointments and blood work every few months; the discipline of taking pills every day, and dealing with their physical side effects; and the emotional, financial, and psychological tolls of having a financially and socially expensive medical condition.
But beyond this, and in spite of the obvious differences between a viral disease and a metabolic one, the most striking difference between having HIV and type-2 diabetes today is this: There's not even a remote chance that changing my diet or exercise habits can cure what I have.
If only.
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- Boycott Bill O'Reilly and FOX News and their advertisers. Bill discussed a French commercial by McDonalds that was meant to show that McDonalds is Gay Friendly. Bill said what is next? Is McDonalds going to be Al-Qaida friendly as well? Imagine - Bill O'Reilly compares Gays to Al-Qaida! Further, Boycott Fox's Owner "Rupert Murcoch" and get him thrown in jail for illegal - Take Action:
political donations, corruption, greed, bribery, hacking! - Boycott Target, Best Buy, Gold's Gym - for donating money towards anti-gay political candidates/organizations. Update: (12/26/2010): Target is continuing to donate to anti-gay groups/causes/politicians. Update 03/08/11 - Lady Gaga Ends Target Partnership, Reportedly Over Target's Poor LGBT Stance. Update 3/25/2010 - Target displays their hypocrisy and Sues California Gay Rights Group for Lobbying Outside Stores. Target is attempting to block the LGBT right of free speech! STOP SHOPPING AT TARGET!!!!!!!!!!!!!!!!! Update 4/8/2011: Target lost its case to stop the LGBT from canvassing in front of their stores. A huge PR Disaster for TARGET! Perhaps Target should go out of business as they betrayed their investers and customer base. Target contributed massive funds to a politician who would like to exterminate gays. Now, Target can not stop us from Boycotting them, nor picketing, nor talking to customers near their stores; although, Target allows a anti-gay company such as the Salvation Army to stand outside their door and speak with customers and raise money. Isn't this a double standard?
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- Boycott WALMART - The National Gay and Lesbian Task Force criticized Wal-Mart for denying employee benefits to same-s-x partners and for failing to prohibit discrimination based on gender identity. By comparison, the group said two other chain stores with a strong presence in New York, Costco and Walgreens, did much better.
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Former US President and Former GA Gov. Jimmy Carter felt that TROY DAVIS should not be executed and deserved a re-trial. The Former Director of the FBI felt that TROY DAVIS Was Not Guilty! Do not drive through Goergia as it is dangerous. Do not fly via Atlanta. For your safety -Do not travel to GA. TELL YOUR COMPANY NOT TO PARTICIPATE IN A CONVENTION IN GA! "Georgia Executes Innocent People!"
And Now, Our War of the Fittest!
This group is called "Peckers Pics." The English - slang definition of "pecker" is to pluck at the truth. Therefore, we peck at items such as Gay Men's Health, Male Fitness, Gay (LGBT) Politics & Issues. In this section you may peck at each photo in order to decide the winner of the "war of the fittest!" Whereas, you should select the "Male Athlete" that may inspire you to exercise and "get fit!" Warning: This may stoke you!
Your participation in discussion of health / news articles - appearing in this message is greatly appreciated.
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26Dere Mathews
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Club Fresh, San Francisco, CA; Jan 9, 2012
Stoked?
Club Fresh, San Francisco, CA; Jan 9, 2012
Washington state Senate approves gay marriage bill
By Nicole Neroulias - OLYMPIA, Wash | Thu Feb 2, 2012 - Reuters
The Washington state Senate passed legislation on Wednesday night to legalize gay marriage, moving the state closer to joining six other U.S. states and Washington, D.C. in allowing same-sex nuptials.
The 28-21 vote in favor of the measure - three more votes than needed for passage - sent it on to the state's House of Representatives, where the bill is expected to win swift approval by a comfortable margin as early as next week.
Both legislative bodies are controlled by Democrats. But the political dynamic on the issue shifted after Governor Christine Gregoire, a Democrat in her final year in office, announced last month she would support the gay marriage bill.
The vote was greeted with raucous cheers from gay couples and their supporters, and with determined looks from opponents. People from both sides of the issue packed the Senate's public galleries to witness the vote.
With passage in the House seen as virtually assured, foes of same-sex matrimony say they will seek the measure's repeal with a referendum asking voters to reaffirm marriage as being exclusively between one man and one woman.
To qualify for the November ballot, they would need to collect at least 120,577 signatures of registered voters by July 6.
Six other states recognize same-sex marriage - New York, Massachusetts, Connecticut, Vermont, New Hampshire and Iowa - as does the District of Columbia. Supporters are moving to pass similar statutes in Maryland and New Jersey.
A referendum to legalize gay marriage in Maine has qualified for the November ballot there.
The stage was set for Wednesday's action after Washington state senate sponsors of the bill said last week they had secured the 25-vote minimum needed in the 49-seat chamber for approval there. Four Republicans ended up joining 24 Democrats in supporting it.
An emotional written statement released shortly before the Senate convened on Wednesday from one of the bill's 11th-hour supporters, Democratic Senator Brian Hatfield, expressed the personal conflict he and other lawmakers felt in backing the measure, which he said contradicted his Christian beliefs.
"Regardless of how I choose to vote on the issue of marriage equality, I will alienate myself from friends and neighbors that I have known for years," he wrote.
"A vote in favor of marriage equality will enrage those who see it as a stone cast against God and the beliefs that I and thousands like me have been raised with. A vote against will label me as a bigot who is against extending the basic rights that I enjoy to all residents of our state," he added.
The bill's chief Senate sponsor, Democrat Ed Murray, called the 28 votes "a pleasant surprise."
"I'm sincerely moved by my colleagues' courage, no matter how they voted," he added.
Murray, who is gay, told colleagues on the floor before the vote that he looked forward to marrying his partner of more than 20 years, and told all of them to expect an invitation in the mail no matter how they voted.
FASTER THAN EXPECTED
Washington state's lower House could vote on gay marriage as early as February 8. Should it reach the governor's desk, Gregoire plans to sign the measure, barring any drastic changes made during the rest of the legislative session, which ends March 8, a representative of the governor said.
Both House and Senate versions of the bill include language to allow gay couples from out of state to get married in Washington. They also both include an amendment allowing religious organizations to refuse to rent out their chapels or other facilities as venues for same-sex weddings.
The legislation was moving more quickly than originally anticipated, said Representative Jamie Pedersen, the bill's chief sponsor in the House.
"The groundswell of support ... was much better than what we could have hoped for," Pedersen said. "Big controversial things usually get resolved in the last days of session, so this is somewhat unusual."
Opponents point out that voters have yet to approve gay marriage in any state referendum and have in some instances overturned same-sex marriage laws enacted by legislators or the courts. Gay marriage remains outlawed in more than 40 of the 50 U.S. states.
Oregon voters passed a law upholding traditional marriage in 2004, voiding same-sex weddings that some counties had performed earlier that year. California voters in 2008 approved a state constitutional amendment banning gay marriage. That measure is under challenge in federal court.
Several prominent Washington-based companies employing tens of thousands of workers, including Microsoft, Amazon and Starbucks, have endorsed Washington's legislation.
On the other side, the state's Roman Catholic bishops and other religious conservatives are amassing thousands of Washington residents against the legislation, including voters who supported the state's expansion of domestic-partnership benefits in recent years but draw the line at gay marriage.
(Editing by Cynthia Johnston and Will Dunham)
Every gay and lesbian person who has been lucky enough to survive the turmoil of growing up is a survivor. Survivors always have an obligation to those who will face the same challenges."
....Jake
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