Anthony Noland
Linked In
 
Anthony Noland

Noland's Notes

Noland Knows

How Is Diabetes Treated in Children?

October 24, 2011 9:06 pm

Is your child packing on the pounds? Becoming a couch potato? Then he or she may be at risk for getting type 2 diabetes.

Type 2 diabetes once occurred mainly in adults who are overweight and over 40, according to the National Institute of Diabetes and Digestive and Kidney Diseases. Today, it is increasingly diagnosed in youths age 10 to 19. An estimated one in six children and teens is obese, according to the Centers for Disease Control and Prevention.

Along with a family history of diabetes, being overweight and inactive are the main risk factors for type 2 diabetes, says Ilan Irony, M.D., an endocrinologist at the Food and Drug Administration (FDA). The two main types of diabetes—type 1 and type 2—are treatable, says Irony. “In addition to changes in diet and a healthier lifestyle, treatments can help control blood sugar and prevent or delay long-term complications of diabetes.”

FDA-approved treatments for both type 1 and type 2 diabetes are all about keeping the blood sugar (glucose) levels in a normal range. But there is no one treatment that works for everybody, says Irony, and treatments may need to be changed if side effects of a particular medication are not tolerated. Also, additional medications may need to be added as diabetes gets worse over time.

Type 2 Diabetes

Type 2 diabetes is most often diagnosed in children starting at age 12 or 13, says Irony. “In children, the disease tends to get worse in puberty when the body produces hormones that make insulin less effective,” he says. Insulin is the hormone that controls blood sugar levels.

“The first line of treatment is a healthy diet and other lifestyle changes,” says Irony. “If a child is overweight or obese, losing weight and increasing physical activity can help lower blood sugar.”
Ask the pediatrician if your child is a healthy weight or needs to lose weight. Children and adolescents should do at least one hour of physical activity each day, according to the federal government’s 2008 Physical Activity Guidelines for Americans.

Type 2 diabetes may be controlled with diet and exercise for a while—sometimes years—says Irony. “But the disease is progressive and medication will be needed later in the majority of patients.”

Type 1 Diabetes

Type 1 diabetes accounts for almost all diabetes in children younger than 10, and it is also on the rise in U.S. children and adolescents. Formerly called juvenile diabetes, type 1 occurs when the body’s immune system destroys the insulin-making cells in the pancreas. Researchers are still investigating the causes of diabetes.

For children with type 1 diabetes, multiple injections of insulin are needed every day to keep the blood sugar in check.

“Treatment is individualized to the child and the spikes of high or low blood sugar need to be minimized,” says Irony. It’s a balancing act to lower the blood sugar but not get it too low, which could make the child feel shaky or pass out, he adds.

What Is Diabetes?


Diabetes occurs because of defects in the body’s ability to produce or use insulin—a hormone needed to convert food into energy. Insulin is made in the pancreas and is released into the blood to control glucose (sugar) levels and the amount of glucose transported into cells as an energy source. If the pancreas doesn't make enough insulin, or if the cells do not respond appropriately to insulin, glucose can't get into the cells and instead stays in the blood and is passed in the urine. The blood sugar level then gets too high.

High blood sugar can, over time, lead to devastating health problems, including:

• heart attack
• stroke
• kidney disease
• nerve damage
• loss of toes or feet
• digestive problems
• blindness
• gum problems and loss of teeth

If you suspect your child may be in danger, see your child's pediatrician today.

Source: FDA.gov

Tags:

This Halloween, Don't Forget About Safety and Home Security

October 21, 2011 9:04 pm

Halloween is the beginning of an exciting time of year for children, as well as the child in all of us. This Halloween, safety and home security are crucially important to your family's enjoyment of the holiday. Here are a few tips to make sure everyone stays safe while trick-or-treating:

1. Remind kids to be cautious and to stick with a buddy at all times. Plan routes and communicate with other parents so that every child in a group can easily be accounted for.

2. For those staying home, make sure that your driveways, walkways and yards are clear of debris in order to reduce the risk of falls.

3. Children and parents are advised to trick-or-treat in well-lit areas with clear walking paths or sidewalks. Use reflective stickers, flashlights and glow sticks to help ensure that children are easily seen by motorists.

4. Now is the time to equip your ghouls with a cell phone, and set a return time so you know when to expect them.

5. Halloween can be a time for vandalism as well as burglaries. It is easy to spot who is and isn’t home, and with the commotion outside, a thief can blend in quite easily. Make sure doors and windows stay locked and the home security system is set. Deter would-be criminals with well-lit, alarm-company signs.

6. When your night-walkers return, inspect all the candy and goodies before kids dig in. Survey for opened or broken wrappers, suspicious-looking items or any ingredients children may be allergic to.

Glow sticks are inexpensive and fun for parents and children. Fasten one to each of your youngsters and give them as treats to those trick-or-treaters who dare show up at your door. You can never be too safe!

Source: www.firstaidglobalwholesale.com

Tags:

Seasonal Changes Can Bring Sleep Problems

October 21, 2011 9:04 pm

Golden autumn afternoons, fall foliage and cooler temperatures are a welcome change for most people after a long hot summer, but families should be watchful that the change in seasons could lead to sleep problems and other behavioral troubles for adults, teens and children.

Seasonal Affective Disorder (SAD) is a type of depression that affects an estimated six percent of the population. A person with SAD can experience unexplained fatigue as daylight hours grow shorter into the fall and winter months. Other symptoms could include increased irritability, increased daytime sleepiness (as opposed to most other forms of depression, which can cause insomnia), difficulty concentrating, and craving carbohydrates and sugary foods, so-called “comfort foods.”

“For some folks, autumn clearly presents something much more than just ‘great sleeping weather,’” says Dan Schecter, creator of SleepBetter.org. “If families suspect they are affected by SAD, they should seek a proper diagnosis from a physician or mental health professional.”

Schecter said families can also take steps on their own to encourage healthy sleep patterns as the seasons change:

• Make seasonal adjustments, if necessary, but set regular sleeping and waking times and stick with the schedule, even on weekends.
• Get plenty of exercise, outdoors if at all possible, to maximize exposure to daylight.
• Ensure your home sleeping environment and bedding are clean and appropriate to the season.
• Eat a well-balanced diet with sufficient vitamins and minerals.

Source: SleepBetter.org

Tags:

Appraisal Institute Announces Support for 'Green' Real Estate Bill in Congress

October 21, 2011 9:04 pm

Citing its benefits for consumers, the nation’s largest professional association of real estate appraisers announced support for recently introduced federal legislation that would improve the mortgage underwriting process by ensuring energy costs are included.

The Appraisal Institute expressed its backing of the Sensible Accounting to Value Energy Act of 2011 during a news conference at the U.S. Capitol with bill sponsors Sens. Michael Bennet, D-Colo, and Johnny Isakson, R-Ga., and other organizations.

“We strongly support the SAVE Act because it will improve communication and the flow of information among appraisers, lender clients and those interacting with the mortgage lending process,” Appraisal Institute Immediate Past President Leslie Sellers, MAI, SRA, said at the event. “It would require use of qualified, competent appraisers and would help ensure that appraisers have access to data needed to analyze the effects of energy-efficient home improvements in the marketplace. Consumers would benefit from the bill’s efforts to help ensure they receive a reliable, credible opinion of value.”

The SAVE Act would instruct federal loan agencies to assess a borrower’s expected energy costs when financing a house. The U.S. Department of Housing and Urban Development (HUD) would issue updated underwriting and appraisal guidelines for any loan issued, insured, purchased or securitized by the Federal Housing Administration or any other federal mortgage loan insurance agency.

The bill establishes two methods for determining expected annual energy costs: average utility costs, derived from the Department of Energy’s Residential Energy Consumption Survey database and adjusted for the square footage of the home, or if available, a qualified, independent energy report of the subject property. The measure includes two primary features: an affordability test and a loan-to-value adjustment.

Sellers said the SAVE Act would help protect taxpayers from another foreclosure crisis; would lower utility bills for U.S. households; would remove from federal mortgage policy an impediment to home energy efficiency; would drive business and job growth in the construction and manufacturing sectors; would expand the accessibility and affordability of energy efficient homes; and would reduce U.S. energy dependence.

“The SAVE Act would require that appraisers are provided with all relevant information relating to energy-efficient features of properties,” Sellers said. “And by defining these types of appraisal assignments as ‘complex,’ the SAVE Act would help ensure those properties are valued by an appraiser with enhanced competency who can more thoroughly analyze and make appropriate judgments for building energy performance and who can help lenders understand their collateral risk.”

For more information, visit www.appraisalinstitute.org.

Tags:

Ten Tips for Balancing Busy Schedules and Healthy Family Meals

October 20, 2011 9:04 pm

Family meals lead to healthier, more successful children, but finding time to eat together can be a balancing act for many families. Registered dietitians and parenting bloggers from the United States, Canada and New Zealand have shared their tips, tricks and motivations for making time to have balanced meals with their families during the Balancing Act Blog Carnival, part of the Eat Better, Eat Together family meal campaign and blog series from Dairy Council of California. Here are the top 10 big ideas they shared, from their families to yours.

1. Planning family meals ahead of time is essential; develop systems that make the purchasing, preparing and partaking easier.
2. Keep it simple. Family meals don’t have to be elaborate to be healthy and effective. Come up with easy ways to balance your meals with simple vegetable side dishes or fruit and yogurt desserts.
3. Have healthy food on hand and eat from your freezer or pantry on busy weeknights. Prepare double batches of food when you’re less rushed so you can cook once, eat twice.
4. The family meal does not have to be dinner; breakfast or lunch may work better in some households.
5. Toughen up. Prepare one meal for the whole family to enjoy. Include all five food groups and everyone should be able to find something they’ll want to eat.
6. Turn off technology and tune into each other. Make conversation the focus of family meals, but keep it light. The dinner table is not the place for discipline.
7. Share the work. Enlist help from the family to plan shopping lists, make lunches, set the table, pour the milk and clean up.
8. Eating as a family is truly comforting for toddlers, teens and adults. Family meals can become a cherished tradition for the whole family.
9. Dump the guilt. Family meals may not happen every day, and that’s OK. Make the most of your family meals when they occur.
10. Family meals aren’t always easy, but they’re always worth the effort. Start or strengthen your family’s commitment to each other today.

Tags:

Don't Curb Homebuyers' Enthusiasm with a Shabby Exterior

October 20, 2011 9:04 pm

Home sellers spend so much time preparing their interior for the sale that they can easily overlook what’s going on outside of the home. Yet, great curb appeal can increase the value of a property by as much as 15-20%, according to Melanie Tisdale of a Florida-based real estate company.

Mario Garcia, a landscaper in Bethesda, Maryland who helps prepare homes for market, says a well-manicured lawn is a magnet for buyers. On the other hand, overgrown trees or large bushes hiding the house are a no-no.

"Buyers associate the condition of the exterior and landscape with the condition of the interior,” Garcia explains. “Curb appeal must invite buyers to view the rest of the property.”

Landscaping fixes include adding flowers or sprucing up the property with decorative grasses or Japanese maples. Accent the trees with rocks or boulders for a bold statement. Consider adding a modest fountain to the yard or garden.

In addition, rake leaves, wash windows and skylights, clean gutters and trim shrubs. Add low voltage lighting to highlight the yard, trees and the home’s exterior.

And you needn’t spend a ton of money to make a difference. “Do something as simple as putting up a new mailbox and address decals on your home,” says Anne West, owner of a Wilmette, Illinois-based design company. “Also, adding a new welcome mat with a grouping of potted plants by the front door makes things more inviting.”

Tags:

FHA Applications Perk up Purchase Mortgages

October 20, 2011 9:04 pm

Driven by a wave of FHA loans, applications for mortgages to purchase a home reached their highest level since May recently—but they still trail the 2010 application rate by more than 34%.

Purchase application rates are good indicators of future sales, and the weekly uptick could indicate an improvement in demand that is still far below 2010 levels. The Mortgage Bankers Association’s unadjusted purchase mortgage index is now 34.7% below the year before.

“The increase in purchase activity was led by a 17.2% increase in FHA applications, while conventional purchase applications also increased by 3.6%,” says Jay Brinkmann, MBA’s chief economist. “This is the second straight weekly increase in purchase applications and the highest purchase index level since the expiration of the home buyer tax credit program. One possible driver of last week’s big increase in FHA applications was a desire by borrowers to get applications in before new FHA requirements took effect October 4, which included somewhat higher credit score and down payment requirements.”

In four-week moving averages, the seasonally adjusted market index is down 3%, the purchase index is up 2% and the refinance index is down 4.2%. Refinancings accounted for 78.9% of all mortgage applications last week, down from 80.7% the week earlier.

The MBA said interest rates for 30-year fixed and 15-year fixed mortgages fell once again last week to new record lows. The average rate for the 30-year fell to 4.25% from 4.38% and the 15-year decreased to 3.73% from 3.77%.

For more information, visit www.realestateeconomywatch.com.

Tags:

Don't Let Plumbing Problems Throw a Wrench in the Home-Selling Process

October 19, 2011 9:04 pm

Homeowners today can't afford to have hidden plumbing problems cost them the sale. To ensure their house passes the home inspection that usually comes with selling, homeowners should examine their plumbing.

By checking plumbing fixtures, homeowners can locate and repair or replace any problems before they put their home up for sale. Many prospective buyers hire a professional home inspector before signing on the dotted line, so finding and fixing problems now could help expedite the closing process later.

A plumbing checkup can show homeowners what to look for when it comes to leaks, drips and other plumbing problems. Follow this plumbing checkup to keep plumbing problems from throwing a wrench into your home-selling experience.

Sinks:

- Examine all faucets to make sure none drip.
- Fill sinks with water and then drain to ensure good drain flow.
- Open cabinet doors and check under sinks for leaks.
- Look for rust and corrosion on sinks as well as pipes.

Bathroom:

- Fill bathtubs with water and then drain to confirm good drain flow.
- Inspect the base of toilets for signs of water damage or soft floors.
- Flush toilets. Check for continual running after tank is full.
- Make sure debris clears from the bowl.

Kitchen:

- Run garbage disposal and dishwasher to make sure they work properly.

Other plumbing fixtures:

-Turn water supply valves on and off to test for leaks.
-Check the first four digits of the water heater's serial number (they are the month and year it was made). -Make sure it isn't more than 10 years old.
-Inspect the water meter and observe a small dial that spins when any amount of water moves through the system. This will detect even small amounts of water loss.
-Hire a professional plumber to video inspect the sewer line to verify it is in good condition.

Homeowners who aren't do-it-yourselfers should call a qualified, licensed plumber.

For more information, visit www.mrrooter.com.

Tags:

Tips to Make Small Spaces Look Bigger

October 19, 2011 9:04 pm

Visual tricks are a very important tool of interior design. Colors, light, furniture and decorative pieces can be arranged the right way to make a statement, or to make a space look smaller…or bigger. You no longer have to sacrifice comfort because you live in a small, enclosed place. With a few visual tricks and some key elements, any room can appear bigger than it really is.

Here are some simple tips to follow for any small room of the house:

Color:
– Light hues will open up the space, and painting the walls white will definitely maximize that effect.
– Go monochromatic. If all white doesn’t work for your lifestyle, try painting the walls, trim and detailing in different shades of one color. Pick from off-white, beige, any pastel or neutral color.
– Match the color of the furniture with the color of the walls. Stay away from contrasting colors, especially in big pieces such as the sofa.

Decoration:

– Medium-size furniture pieces work better than a big, prominent one. Avoid having many small pieces scattered all over the room, and arrange furniture at an angle to add visual interest to the place.
– Track or recessed lighting works best for small spaces. Use a torchiere lamp to bounce light off the ceiling, and get rid of heavy drapery. Let the natural light come in as much as possible.
– Mirrors are also a great way to make a room feel and look bigger. A big wall mirror right in front of a window will reflect light and color; so will a collection of smaller ones, distributed along one wall.

Organization:
– Any small space--even a tiny closet--will look bigger if it’s clutter-free. Get rid of little furniture dispersed all over, and move around pieces that block the view and walkway space.
– Designers recommend getting pieces of furniture with open arms and legs, as well as small glass-top tables, so the light can filter through.
– Make the most out of the space with multifunctional furniture. Invest in good quality pieces such as drop-leaf or removable-leaf tables and ottomans for storage and sitting purposes, among others.

By following these recommendations you can maximize the space in any room (or create the illusion of space) with the right decorative touch.

Source: At Home Rewards, Adaptive Marketing

Tags:

Prequalification vs. Pre-approval

October 19, 2011 9:04 pm

Prequalification and pre-approval may start with the same three letters, but there's a big difference between the two when it comes to your mortgage.

Prequalification takes about an hour and is conducted by a licensed loan originator or broker working for a particular lender. To obtain prequalification, applicants need to provide an application and have their credit pulled. Once this information is obtained and reviewed by the lender an applicant is awarded with prequalification status. Although this can be helpful for buyers to know where they stand, it does not necessarily lock in their rate or guarantee a particular loan at a given price point, says Chip Poli, CEO of a Massachusetts-based mortgage lender.

Pre-approval is different than prequalification in that your information has been underwritten by an authorized Underwriter. Mortgage lenders often provide in-house Underwriters because they can approve you for a home loan quickly and efficiently. Upon receiving a valid pre-approval, your next step is finding the right home for the right price. Once you find that home and it appraises for the agreed-upon price or higher, you should be able to close your loan in a short period of time.

To get pre-approved for a home loan, be sure to fill out your mortgage application in its entirety. Leaving parts blank or incomplete will only make the process harder on yourself, says Poli. You will also need to provide certain documents concerning your assets, income and employment.

In order to ensure your home purchase goes as seamlessly as possible, consumers are better off applying for a pre-approval because it helps them truly have an idea as to what their budget is and protects them from hidden surprises once they find a house and apply for the loan. If you have a pre-approval in hand, it shows your real estate agent and the seller that you are a serious home buyer; in this market it is extremely important to sellers that their prospective buyers have been pre-approved.

Tags: