What’s new in diabetes drugs

Two classes of diabetes drugs—GLP-1 receptor agonists and SGLT-2 inhibitors—have received much attention lately. They not only lower blood sugar, they also help with weight reduction and may lower the risk of heart attack, stroke, and chronic kidney disease. The drugs can be taken as daily oral tablets or in some cases weekly injections, both of which are preferable over daily insulin shots.

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Take a breather

Most breathing follows a smooth, steady rhythm, but sometimes normal breathing turns erratic. For example, when people are stressed or panicked, breathing gets shallow, making it feel as if it is hard to take in air. When the fight-or-flight response kicks in to confront perceived danger (real or imagined), breathing pace quickens to prepare the heart and muscles for a quick getaway. One way to manage these types of stressful breathing when they occur is to practice breathing exercises designed to help bring in more oxygen and slow the breathing rhythm.

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Tough to swallow

Losing the ability to properly swallow should not be attributed to older age. If older adults have persistent trouble swallowing, like the sensation something is stuck in their throat, or if it’s painful to swallow, it could be a sign of an underlying problem and should be checked out. Treatment depends on the source of the swallowing problem, but might include medication, lifestyle changes, and in some cases, surgery.

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Working out your brain

Cardio exercise has been convincingly linked to less cognitive decline and may even improve cognitive functioning. Research suggests it can strengthen the heart, promote arterial health, improve blood flow to the brain, fight inflammation, and increase key chemicals that promote new brain cell growth. The type of exercise does not matter, but cardio that is both physically challenging and offers mental stimulation is ideal.

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Constipation: A connection to cardiovascular disease?

People with chronic constipation may be more prone to heart disease, but the connection remains unclear. Straining and bearing down to have a bowel movement can temporarily boost blood pressure, putting the cardiovascular system at risk. And a possible link between constipation and blood clots may be worth further study. In rare cases, clots form in the veins that serve the gastrointestinal organs, including the large intestine (colon). Known as splanchnic venous thrombosis, the problem seems to be far more common in people with constipation than in those without.

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Over-the-counter drugs that can boost blood pressure

People with high blood pressure should avoid certain popular over-the-counter drugs used to treat cold and flu symptoms and pain. The problematic products are those that contain decongestants such as oxymetazoline, pseudoephedrine, and phenylephrine; and nonsteroidal anti-inflammatory drugs (NSAIDs) such as ibuprofen and naproxen sodium. Because drugstores contain an overwhelming number of products that feature those drugs, people should ask their pharmacist to recommend a product.

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