A practical, self-help guide for living well with Type 2 Diabetes Mellitus (DM2). In the last 40 years or so, we have seen an astounding rise in the prevalence of DM2 in most western and 'developing' countries. National data suggests a six-fold increase from around 1% of the population in 1980 to over 6% in 2020. There are thought to be nearly 4 million people with the disease in the UK, and close to half a billion affected worldwide. In parts of the USA and China, over 10% of the population have DM2. Traditionally thought of as a disease of mid-life and old age, both DM2 and the metabolic markers of future disease are now increasingly being seen in young people, children and even infants. What is happening? The burden of this disease is huge at all levels - for health care spend and for added risk of other medical problems. Its overall impact on health is at least as great as that of Type 1 Diabetes - it's certainly not the 'mild Diabetes' it was once called. In addition, other than its physical impacts - more than a third of people with DM2 are said to experience psychological problems related specifically to the condition. In spite of the tidal wave of disease and costs, the response from authorities has been somewhat underwhelming, with non-specific advice to lose weight (move more/eat less) being more or less the only public health guidance. We now however have a sense of being at something of a crossroads in understanding the science behind DM2 with a more focused approach emerging. Research and practice are challenging the traditional way in which we approach and manage DM2 - and offer too the potential for prevention - at scale. A central tenet of this book is that people can be educated, empowered and supported to control their metabolic health and to prevent, improve and manage DM2. The authors present a fresh and balanced individual take on the science around DM2 with an examination of the belief systems and behaviours that have fuelled its rise.
A practical, self-help guide for living well with Type 2 Diabetes Mellitus (DM2). In the last 40 years or so, we have seen an astounding rise in the prevalence of DM2 in most western and 'developing' countries. National data suggests a six-fold increase from around 1% of the population in 1980 to over 6% in 2020. There are thought to be nearly 4 million people with the disease in the UK, and close to half a billion affected worldwide. In parts of the USA and China, over 10% of the population have DM2. Traditionally thought of as a disease of mid-life and old age, both DM2 and the metabolic markers of future disease are now increasingly being seen in young people, children and even infants. What is happening? The burden of this disease is huge at all levels - for health care spend and for added risk of other medical problems. Its overall impact on health is at least as great as that of Type 1 Diabetes - it's certainly not the 'mild Diabetes' it was once called. In addition, other than its physical impacts - more than a third of people with DM2 are said to experience psychological problems related specifically to the condition. In spite of the tidal wave of disease and costs, the response from authorities has been somewhat underwhelming, with non-specific advice to lose weight (move more/eat less) being more or less the only public health guidance. We now however have a sense of being at something of a crossroads in understanding the science behind DM2 with a more focused approach emerging. Research and practice are challenging the traditional way in which we approach and manage DM2 - and offer too the potential for prevention - at scale. A central tenet of this book is that people can be educated, empowered and supported to control their metabolic health and to prevent, improve and manage DM2. The authors present a fresh and balanced individual take on the science around DM2 with an examination of the belief systems and behaviours that have fuelled its rise.
As the premier livery company, the Mercers Company in medieval England enjoyed a prominent role in London's governance and exercised much influence over England's overseas trade and political interests. This substantial two-volume set provides a comprehensive edition of the surviving Mercers' accounts from 1347 to 1464, and opens a unique window into the day-to-day workings of one of England's most powerful institutions at the height of its influence. The accounts list income, derived from fees for apprentices and entry fees, from fines (whose cause is usually given, sometimes with many details), from gifts and bequests, from property rents, and from other sources, and then list expenditures: on salaries to priests and chaplains, to the beadle, the rent-collector, and to scribes and scriveners; on alms payments; on quit-rents due on their properties; on repairs to properties; and on a whole host of other costs, differing from year to year, and including court cases, special furnishings for the chapel or Hall, negotiations over trade with Burgundy, transport costs, funeral costs or those for attendance at state occasions, etc. Included also in some years are ordinances, deeds and other material of which they wanted to ensure a record was kept. Beginning with an early account for 1347–48, and the company's ordinances of that year, the accounts preserved form an entire block from 1390 until 1464. The material is arranged in facing-page format, with an accurate edition of the original text mirrored by a translation into modern English. A substantial introduction describes the manuscripts in full detail and explains the accounting system used by the Mercers and the financial vocabulary associated with it. Exhaustive name and subject indexes ensure that the material is easily accessible and this edition will become an essential tool for all studying the social, cultural or economic developments of late-medieval England.
This is a straightforward guide to the maze of archival material and records which can be used to rediscover the past. The CD-ROM shows how to create a personalised family tree.
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