The hidden dangers of prediabetes

About 98 million Americans have prediabetes, in which the average amount of sugar (glucose) in the blood is high but not high enough to be diagnosed as diabetes. While people with prediabetes want to avoid getting diabetes, prediabetes can be dangerous on its own, as it increases the risk for cardiovascular disease, chronic kidney disease, and fatty liver disease. Controlling blood pressure, lowering LDL (bad) cholesterol, and managing glucose levels with weight loss, exercise, and diet offers protection against diabetes and these conditions.

Content restricted. Requires subscription

Can’t shake that cough?

The average cough, typically due to a cold or other respiratory virus, lasts three weeks or less. A lingering or chronic cough lasts eight weeks or longer. Most causes of chronic cough aren’t serious, such as bronchitis, seasonal allergies, or medication side effects. People should see a doctor if over-the-counter treatments haven’t worked or if they experience signs such as breathlessness, wheezing, chest pain, blood in the sputum, weight loss, or fatigue. Before an appointment, people should track their cough and note its patterns to offer clues for diagnosis.

Content restricted. Requires subscription

Beyond bereavement

Prolonged grief disorder (PGD) involves 12 months or longer of debilitating grief. An estimated 7% to 10% of bereaved people experience PGD. Signs include feeling as though part of you has died, marked sense of disbelief about the death, denial or immense difficulty accepting the loss, extreme loneliness, and feeling that life is meaningless. People who are more vulnerable to PGD include women in general as well as people who lost a loved one in a traumatic or unexpected way, lost a child, or have coped with anxiety or depression. Treating PGD may involve a blend of therapies.

Content restricted. Requires subscription

Is it time for a knee replacement?

Annually, about 790,000 Americans (about 60% women) undergo knee replacement surgery. Women are more likely to have arthritis, the main culprit leading to most knee replacements. Before surgery becomes an option, people first need to try conservative treatments such as pain relievers, injectable medications, and physical therapy. Signs a knee replacement may be necessary include pain that hinders people from doing basic activities, unstable walking, and needing multiple medications to function.

Content restricted. Requires subscription