fenil210/Med-Lamma huggingface dataset:
What is (are) Diabetes, Heart Disease, and Stroke ?
If you have diabetes, you are at least twice as likely as someone who does not have diabetes to have heart disease or a stroke. People with diabetes also tend to develop heart disease or have strokes at an earlier age than other people. If you are middle-aged and have type 2 diabetes, some studies suggest that your chance of having a heart attack is as high as someone without diabetes who has already had one heart attack. Women who have not gone through menopause usually have less risk of heart disease than men of the same age. But women of all ages with diabetes have an increased risk of heart disease because diabetes cancels out the protective effects of being a woman in her child-bearing years.
                
People with diabetes who have already had one heart attack run an even greater risk of having a second one. In addition, heart attacks in people with diabetes are more serious and more likely to result in death. High blood glucose levels over time can lead to increased deposits of fatty materials on the insides of the blood vessel walls. These deposits may affect blood flow, increasing the chance of clogging and hardening of blood vessels (atherosclerosis). + NIDDK + Diabetes, Heart Disease, and Stroke
Who is at risk for Diabetes, Heart Disease, and Stroke? ?
Diabetes itself is a risk factor for heart disease and stroke. Also, many people with diabetes have other conditions that increase their chance of developing heart disease and stroke. These conditions are called risk factors. One risk factor for heart disease and stroke is having a family history of heart disease. If one or more members of your family had a heart attack at an early age (before age 55 for men or 65 for women), you may be at increased risk.
                
You can't change whether heart disease runs in your family, but you can take steps to control the other risk factors for heart disease listed here:
                
- Having central obesity. Central obesity means carrying extra weight around the waist, as opposed to the hips. A waist measurement of more than 40 inches for men and more than 35 inches for women means you have central obesity. Your risk of heart disease is higher because abdominal fat can increase the production of LDL (bad) cholesterol, the type of blood fat that can be deposited on the inside of blood vessel walls.  - Having abnormal blood fat (cholesterol) levels.      - LDL cholesterol can build up inside your blood vessels, leading to narrowing and hardening of your arteriesthe blood vessels that carry blood from the heart to the rest of the body. Arteries can then become blocked. Therefore, high levels of LDL cholesterol raise your risk of getting heart disease.    - Triglycerides are another type of blood fat that can raise your risk of heart disease when the levels are high.    - HDL (good) cholesterol removes deposits from inside your blood vessels and takes them to the liver for removal. Low levels of HDL cholesterol increase your risk for heart disease.    - Having high blood pressure. If you have high blood pressure, also called hypertension, your heart must work harder to pump blood. High blood pressure can strain the heart, damage blood vessels, and increase your risk of heart attack, stroke, eye problems, and kidney problems.  - Smoking. Smoking doubles your risk of getting heart disease. Stopping smoking is especially important for people with diabetes because both smoking and diabetes narrow blood vessels. Smoking also increases the risk of other long-term complications, such as eye problems. In addition, smoking can damage the blood vessels in your legs and increase the risk of amputation. + NIDDK + Diabetes, Heart Disease, and Stroke
What is (are) Diabetes, Heart Disease, and Stroke ?
Metabolic syndrome is a grouping of traits and medical conditions that puts people at risk for both heart disease and type 2 diabetes. It is defined by the National Cholesterol Education Program as having any three of the following five traits and medical conditions:
                
Traits and Medical Conditions    Definition        Elevated waist circumference    Waist measurement of          - 40 inches or more in men      - 35 inches or more in women             Elevated levels of triglycerides             - 150 mg/dL or higher or Taking medication for elevated triglyceride levels             Low levels of HDL (good) cholesterol             - Below 40 mg/dL in men      - Below 50 mg/dL in women or Taking medication for low HDL cholesterol levels            Elevated blood pressure levels             - 130 mm Hg or higher for systolic blood pressure or      - 85 mm Hg or higher for diastolic blood pressure  or Taking medication for elevated blood pressure levels            Elevated fasting blood glucose levels             - 100 mg/dL or higher or Taking medication for elevated blood glucose levels + NIDDK + Diabetes, Heart Disease, and Stroke
How to prevent Diabetes, Heart Disease, and Stroke ?
Even if you are at high risk for heart disease and stroke, you can help keep your heart and blood vessels healthy. You can do so by taking the following steps:
                
- Make sure that your diet is "heart-healthy." Meet with a registered dietitian to plan a diet that meets these goals:      - Include at least 14 grams of fiber daily for every 1,000 calories consumed. Foods high in fiber may help lower blood cholesterol. Oat bran, oatmeal, whole-grain breads and cereals, dried beans and peas (such as kidney beans, pinto beans, and black-eyed peas), fruits, and vegetables are all good sources of fiber. Increase the amount of fiber in your diet gradually to avoid digestive problems.    - Cut down on saturated fat. It raises your blood cholesterol level. Saturated fat is found in meats, poultry skin, butter, dairy products with fat, shortening, lard, and tropical oils such as palm and coconut oil. Your dietitian can figure out how many grams of saturated fat should be your daily maximum amount.    - Keep the cholesterol in your diet to less than 300 milligrams a day. Cholesterol is found in meat, dairy products, and eggs.    - Keep the amount of trans fat in your diet to a minimum. It's a type of fat in foods that raises blood cholesterol. Limit your intake of crackers, cookies, snack foods, commercially prepared baked goods, cake mixes, microwave popcorn, fried foods, salad dressings, and other foods made with partially hydrogenated oil. In addition, some kinds of vegetable shortening and margarines have trans fat. Check for trans fat in the Nutrition Facts section on the food package.    - If you smoke, quit. Your doctor can help you find ways to quit smoking.  - Ask your doctor whether you should take aspirin. Studies have shown that taking a low dose of aspirin every day can help reduce the risk of heart disease and stroke. However, aspirin is not safe for everyone. Your doctor can tell you whether taking aspirin is right for you and exactly how much to take.  - Get prompt treatment for transient ischemic attacks (TIAs). Early treatment for TIAs, sometimes called mini-strokes, may help prevent or delay a future stroke. Signs of a TIA are sudden weakness, loss of balance, numbness, confusion, blindness in one or both eyes, double vision, difficulty speaking, or a severe headache. + NIDDK + Diabetes, Heart Disease, and Stroke
What are the treatments for Diabetes, Heart Disease, and Stroke ?
You can keep track of the ABCs of diabetes to make sure your treatment is working. Talk with your health care provider about the best targets for you.
                
A stands for A1C (a test that measures blood glucose control). Have an A1C test at least twice a year. It shows your average blood glucose level over the past 3 months. Talk with your doctor about whether you should check your blood glucose at home and how to do it.
                
A1C target        Below 7 percent, unless your doctor sets a different target
                

                
Blood glucose targets        Before meals    90 to 130 mg/dL        1 to 2 hours after the start of a meal    Less than 180 mg/dL
                
B is for blood pressure. Have it checked at every office visit.
                
Blood pressure target        Below 140/80 mm Hg, unless your doctor sets a different target
                
C is for cholesterol. Have it checked at least once a year.
                
Blood fat (cholesterol) targets        LDL (bad) cholesterol    Under 100 mg/dL        Triglycerides    Under 150 mg/dL        HDL (good) cholesterol For men: above 40 mg/dL For women: above 50 mg/dL
                
Control of the ABCs of diabetes can reduce your risk for heart disease and stroke. If your blood glucose, blood pressure, and cholesterol levels aren't on target, ask your doctor what changes in diet, activity, and medications can help you reach these goals. + NIDDK + Diabetes, Heart Disease, and Stroke
What are the treatments for Diabetes, Heart Disease, and Stroke ?
Treatment for heart disease includes meal planning to ensure a heart-healthy diet and physical activity. In addition, you may need medications to treat heart damage or to lower your blood glucose, blood pressure, and cholesterol. If you are not already taking a low dose of aspirin every day, your doctor may suggest it. You also may need surgery or some other medical procedure.
                
For additional information about heart and blood vessel disease, high blood pressure, and high cholesterol, call the National Heart, Lung, and Blood Institute Health Information Center at 3015928573 or see  www.nhlbi.nih.gov on the Internet. + NIDDK + Diabetes, Heart Disease, and Stroke
What are the treatments for Diabetes, Heart Disease, and Stroke ?
At the first sign of a stroke, you should get medical care right away. If blood vessels to your brain are blocked by blood clots, the doctor can give you a "clot-busting" drug. The drug must be given soon after a stroke to be effective. Subsequent treatment for stroke includes medications and physical therapy, as well as surgery to repair the damage. Meal planning and physical activity may be part of your ongoing care. In addition, you may need medications to lower your blood glucose, blood pressure, and cholesterol and to prevent blood clots.
                
For additional information about strokes, call the National Institute of Neurological Disorders and Stroke at 18003529424 or see  www.ninds.nih.gov on the Internet. + NIDDK + Diabetes, Heart Disease, and Stroke
What to do for Diabetes, Heart Disease, and Stroke ?
- If you have diabetes, you are at least twice as likely as other people to have heart disease or a stroke.  - Controlling the ABCs of diabetesA1C (blood glucose), blood pressure, and cholesterol-can cut your risk of heart disease and stroke.  - Choosing foods wisely, quitting smoking, and taking medications (if needed) can all help lower your risk of heart disease and stroke.  - If you have any warning signs of a heart attack or a stroke, get medical care immediatelydon't delay. Early treatment of heart attack and stroke in a hospital emergency room can reduce damage to the heart and the brain. + NIDDK + Diabetes, Heart Disease, and Stroke
What is (are) What I need to know about My Child's Urinary Tract Infection ?
A UTI is an infection in the urinary tract. Infections are caused by microbesorganisms too small to be seen without a microscope. Bacteria * are the most common cause of UTIs. Normally, bacteria that enter the urinary tract are quickly removed by the body before they cause symptoms. But sometimes bacteria overcome the bodys natural defenses and cause infection.
                
*See the Pronunciation Guide for tips on how to say the underlined words. + NIDDK + What I need to know about My Child's Urinary Tract Infection
What causes What I need to know about My Child's Urinary Tract Infection ?
Most UTIs are caused by bacteria that live in the bowel, the part of the digestive tract where stool is changed from liquid to solid. The bacterium Escherichia coli (E. coli) causes most UTIs. The urinary tract has several systems to prevent infection. The points where the ureters attach to the bladder act like one-way valves to prevent urine from backing up, or refluxing, toward the kidneys, and urination washes microbes out of the body. The bodys natural defenses also prevent infection. But despite these safeguards, infections still occur.
                
Other factors that may cause a child to get a UTI include the following:
                
- Waiting to urinate. Regular urination helps flush away bacteria. Holding urine allows bacteria to grow.  - Making too little urine. A child that doesnt drink enough fluids may not make enough urine to flush away bacteria.  - Constipation. Constipation is a condition in which a child has fewer than two bowel movements a week. Stools can be hard, dry, small, and difficult to pass. The hard stool in the bowel may press against the urinary tract and block the flow of urine, allowing bacteria to grow.
                
Some children are just more prone to UTIs than others, just as some children are more prone to getting coughs, colds, or ear infections. + NIDDK + What I need to know about My Child's Urinary Tract Infection
Who is at risk for What I need to know about My Child's Urinary Tract Infection? ?
Any child can get a UTI, though girls get UTIs more often than boys.
                
Children with a condition called vesicoureteral reflux (VUR) are at higher risk for UTIs. VUR causes urine to reflux at the point where one or both ureters attach to the bladder. When urine stays in the urinary tract, bacteria have a chance to grow and spread. Infants and young children who get a UTI often have VUR.
                
Boys younger than 6 months who are not circumcised are at greater risk for a UTI than circumcised boys the same age. Boys who are circumcised have had the foreskin, which is the skin that covers the tip of the penis, removed. + NIDDK + What I need to know about My Child's Urinary Tract Infection
What are the symptoms of What I need to know about My Child's Urinary Tract Infection ?
A child with a UTI may not have any symptoms. When symptoms are present, they can range from mild to severe. UTI symptoms can include
                
- fever  - pain or burning during urination with only a few drops of urine at a time  - irritability  - not eating  - nausea  - diarrhea  - vomiting  - cloudy, dark, bloody, or foul-smelling urine  - urinating often  - pain in the back or side below the ribs  - leaking urine into clothes or bedding in older children + NIDDK + What I need to know about My Child's Urinary Tract Infection
How to diagnose What I need to know about My Child's Urinary Tract Infection ?
A UTI is diagnosed by testing a sample of your childs urine. The way the urine is collected depends on your childs age:
                
The health care provider looks at the urine sample with a microscope to check for bacteria or pus. The sample is also sent to a lab. The lab performs a urine culture by placing the sample in a tube or dish with a substance that encourages any bacteria present to grow. The bacteria that grow can be identified and tested to see which medicines will work best to treat the infection. A urine culture usually takes 1 to 3 days to complete. + NIDDK + What I need to know about My Child's Urinary Tract Infection
What are the treatments for What I need to know about My Child's Urinary Tract Infection ?
Bacteria-fighting medicines called antibiotics are used to treat a UTI. While the lab is doing the urine culture, the health care provider may begin treatment with an antibiotic that treats the bacteria most likely to be causing the infection. Once culture results are known, the health care provider may switch your child to a different antibiotic that targets the specific type of bacteria.
                
Your child will need to take antibiotics for at least 3 to 5 days and maybe as long as several weeks. Be sure your child takes every pill or every dose of liquid. Your child should feel better after a couple of days, but the infection might come back if your child stops taking the antibiotic too early.
                
You should let your child drink as much as your child wants. But dont force your child to drink large amounts of fluid. Call your childs health care provider if your child doesnt want to or isnt able to drink. Also, talk with your childs health care provider if your child needs medicine for the pain of a UTI. The health care provider can recommend an over-the-counter pain medicine. A heating pad on the back or abdomen may also help. + NIDDK + What I need to know about My Child's Urinary Tract Infection
How to diagnose What I need to know about My Child's Urinary Tract Infection ?
Talk with your childs health care provider after your childs UTI is gone. The health care provider may want to do more tests to check for VUR or a blockage in the urinary tract. Repeated infections in an abnormal urinary tract may cause kidney damage. The kinds of tests ordered will depend on the child and the type of infection. VUR and blockages in the urinary tract often go away as a child grows. In some cases, surgery may be needed to correct any defects in the urinary tract. More information about tests for VUR or a blockage in the urinary tract is provided in the NIDDK health topic, Urinary Tract Infections in Children. + NIDDK + What I need to know about My Child's Urinary Tract Infection
How to prevent What I need to know about My Child's Urinary Tract Infection ?
You can take the following steps to help prevent your child from getting a UTI:
                
- Teach your child not to hold in urine and to go to the bathroom whenever your child feels the urge.  - Teach your child how to properly clean himself or herself after using the bathroom to keep bacteria from entering the urinary tract.  - Have your child wear loose-fitting clothes. Tight clothes can trap moisture, which allows bacteria to grow.  - Buy your child cotton underwear. Cotton lets in air to dry the area.  - If your child has constipation, talk with a health care provider about the best treatment options. + NIDDK + What I need to know about My Child's Urinary Tract Infection
What to do for What I need to know about My Child's Urinary Tract Infection ?
To help prevent a UTI, make sure your child drinks enough fluids each day. Talk with your childs health care provider to find out how much fluid your child should drink. + NIDDK + What I need to know about My Child's Urinary Tract Infection
What to do for What I need to know about My Child's Urinary Tract Infection ?
- A urinary tract infection (UTI) is an infection in the urinary tract. Infections are caused by microbesorganisms too small to be seen without a microscope.  - Most UTIs are caused by bacteria that live in the bowel, the part of the digestive tract where stool is changed from liquid to solid.  - Any child can get a UTI, though girls get UTIs more often than boys.  - Most UTIs are not serious, but some infections can lead to serious problems.  - A child with a UTI may not have any symptoms. When symptoms are present, they can range from mild to severe.  - A UTI is diagnosed by testing a sample of your childs urine.  - Bacteria-fighting medicines called antibiotics are used to treat a UTI.  - Talk with your childs health care provider after your childs UTI is gone. The health care provider may want to do more tests to check for vesicoureteral reflux (VUR) or a blockage in the urinary tract.  - You can take steps to help prevent your child from getting a UTI. + NIDDK + What I need to know about My Child's Urinary Tract Infection
What is (are) Hypoglycemia ?
Hypoglycemia, also called low blood glucose or low blood sugar, occurs when blood glucose drops below normal levels. Glucose, an important source of energy for the body, comes from food. Carbohydrates are the main dietary source of glucose. Rice, potatoes, bread, tortillas, cereal, milk, fruit, and sweets are all carbohydrate-rich foods.
                
After a meal, glucose is absorbed into the bloodstream and carried to the body's cells. Insulin, a hormone made by the pancreas, helps the cells use glucose for energy. If a person takes in more glucose than the body needs at the time, the body stores the extra glucose in the liver and muscles in a form called glycogen. The body can use glycogen for energy between meals. Extra glucose can also be changed to fat and stored in fat cells. Fat can also be used for energy.
                
When blood glucose begins to fall, glucagonanother hormone made by the pancreassignals the liver to break down glycogen and release glucose into the bloodstream. Blood glucose will then rise toward a normal level. In some people with diabetes, this glucagon response to hypoglycemia is impaired and other hormones such as epinephrine, also called adrenaline, may raise the blood glucose level. But with diabetes treated with insulin or pills that increase insulin production, glucose levels can't easily return to the normal range.
                
Hypoglycemia can happen suddenly. It is usually mild and can be treated quickly and easily by eating or drinking a small amount of glucose-rich food. If left untreated, hypoglycemia can get worse and cause confusion, clumsiness, or fainting. Severe hypoglycemia can lead to seizures, coma, and even death.
                
In adults and children older than 10 years, hypoglycemia is uncommon except as a side effect of diabetes treatment. Hypoglycemia can also result, however, from other medications or diseases, hormone or enzyme deficiencies, or tumors. + NIDDK + Hypoglycemia
What are the symptoms of Hypoglycemia ?
Hypoglycemia causes symptoms such as
                
- hunger  - shakiness  - nervousness  - sweating  - dizziness or light-headedness  - sleepiness  - confusion  - difficulty speaking  - anxiety  - weakness
                
Hypoglycemia can also happen during sleep. Some signs of hypoglycemia during sleep include
                
- crying out or having nightmares  - finding pajamas or sheets damp from perspiration  - feeling tired, irritable, or confused after waking up + NIDDK + Hypoglycemia
What causes Hypoglycemia ?
Diabetes Medications
                
Hypoglycemia can occur as a side effect of some diabetes medications, including insulin and oral diabetes medicationspillsthat increase insulin production, such as
                
- chlorpropamide (Diabinese)  - glimepiride (Amaryl)  - glipizide (Glucotrol, Glucotrol XL)  - glyburide (DiaBeta, Glynase, Micronase)  - nateglinide (Starlix)  - repaglinide (Prandin)  - sitagliptin (Januvia)  - tolazamide  - tolbutamide
                
Certain combination pills can also cause hypoglycemia, including
                
- glipizide + metformin (Metaglip)  - glyburide + metformin (Glucovance)  - pioglitazone + glimepiride (Duetact)  - rosiglitazone + glimepiride (Avandaryl)  - sitagliptin + metformin (Janumet)
                
Other types of diabetes pills, when taken alone, do not cause hypoglycemia. Examples of these medications are
                
- acarbose (Precose)  - metformin (Glucophage)  - miglitol (Glyset)  - pioglitazone (Actos)  - rosiglitazone (Avandia)
                
However, taking these pills along with other diabetes medicationsinsulin, pills that increase insulin production, or bothincreases the risk of hypoglycemia.
                
In addition, use of the following injectable medications can cause hypoglycemia:
                
- Pramlintide (Symlin), which is used along with insulin  - Exenatide (Byetta), which can cause hypoglycemia when used in combination with chlorpropamide, glimepiride, glipizide, glyburide, tolazamide, and tolbutamide
                
More information about diabetes medications is provided in the NIDDK health topic, What I need to know about Diabetes Medicines, or by calling 18008608747.
                
Other Causes of Hypoglycemia
                
In people on insulin or pills that increase insulin production, low blood glucose can be due to
                
- meals or snacks that are too small, delayed, or skipped  - increased physical activity  - alcoholic beverages + NIDDK + Hypoglycemia