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In a little more than a decade, more than 40 million diabetics worldwide could be left without insulin, the drug that is needed to help control the disease. It's a dire prediction from a study published in the journal Lancet Diabetes and Endocrinology that could have life-altering consequences. Health expert Dr. Dahlia Wachs likened insulin to being the key to a door. In most people, it's a naturally occurring hormone the pancreas secretes when we eat sugar so that it can go from the bloodstream and into our cells.But it's a different matter for the millions of people whose bodies either don't make insulin or who have insulin resistance."Type 1 diabetics — they are very dependent on insulin," Wachs said. "They don't make insulin. They get very skinny and we have to give them insulin. There really isn't a lot of other treatments for these Type 1 diabetics.”A shortage of insulin in drug form poses major challenges. "So those with Type 2 diabetes, many of them can take pills, but if they are in poor control we have to give them insulin," Wachs said.Wachs said insulin is expensive to make. She says only three major pharmaceutical companies make it. And the demand isn't the highest here in the United States but other parts of the world, including Africa and Asia. However, the U.S. will have the third highest number of people living with diabetes by 2030.Diabetes is growing at an epidemic rate in the U.S. More than 12 percent of the adult population in Nevada is diabetic, according to the Centers for Disease Control. Every year, 10,000 people are diagnosed with diabetes and an estimated 75,000 have diabetes and don't know it. "So what can we do to prevent the shortage? Well, try to prevent diabetes," she said.That means controlling obesity, exercising and eating healthy. 1943
How does someone who relies on his voice for a living, such as an auctioneer, keep it in top form?You may be surprised to find out what it takes to keep talking up success.As exciting as it is to be in the seats during a live auction, imagine being the man behind the microphone. "I just love excitement," said professional auctioneer John Korrey. "It's an art."Korrey has been a professional auctioneer for more than 20 years, time he's spent solidifying his sound."There's not any two auctioneers that sound alike," said Korrey. "I can sit here and say countfive, 10, 15, 20, but when I put a chant to it, 'I bid five dollar bid now ten now fifteen fifteen twenty now twenty twenty thirty,' see I'm rolling my tongue and I'm adding some rhythm and I'm breathing."Leading auctions, sometimes for hours on end, has taught Korrey one important thing."We're not a machine," said Korrey. "If it's equipment breaks ... a starter down ... you put a new one in."When my voice goes down I have no wage, I'm done," he said.That's why Korrey spends so much time at the Colorado Voice Clinic, working with Kathe Perez to make sure his voice is okay."Let's start off with an easy feeling of breathing," Perez instructed Korrey. Then the two go through vocal exercises together. "Let's bring it down a key," Perez said. "A big brown bug bit a big brown bear, a big brown bug bit a big brown bear."It's not just vocal exercises that keep his voice in check. A camera goes down Korrey's throat and gives doctors a look at his vocal chords in action."The strobe exam is an artificial form of slow motion that lets us look at the actual vocal folds as they produce sound," said Dr. David Opperman with Presbyterian/St. Luke's Medical Center. "We can pick up subtle abnormalities in the way the chords are moving, if there's a tension difference between the right and left side. And it's really revolutionized what we do in the voice industry."Opperman said it's not just people like John who need to take care of their voice. Really it's anyone from teachers to customer service operators who does a lot of talking. He says staying germ-free, resting your voice for a time and rinsing your nose with salt water, can all help.From old-school voice training, to high-tech analysis, who knew it takes a combination of care you can't see from the stage, to keep Korrey's voice, and the auction, going strong. 2468

IMPERIAL BEACH, Calif. (KGTV) - Loved ones are mourning the COVID-19 death of a beloved Imperial Beach grandmother."I have no words. So hard," said a tearful Angelica Madrigal, the daughter of Juana Barajas.Barajas, 61, first became sick last week. By the next day, a fever had arrived."Chest congested and shortness of breath," said Madrigal. "She called me and said, 'I can’t breathe well.'"An ambulance rushed Barajas to the hospital. She tested positive for COVID-19 and that night, she was placed on a ventilator.Barajas, who lived with diabetes and a heart condition, suffered four heart attacks in the ICU. On Saturday, just five days after she first became ill, Barajas, a mother of three and grandmother of three, passed away."I couldn’t touch her. I couldn’t say goodbye. Had to see her through a window," said Madrigal.Madrigal says her mother was hard-working, humble, and loved to joke around."Since I was kids, she always had two or three jobs," said Madrigal. "She was my best friend. She was everything to me."Madrigal isn’t sure how her mom contracted the virus, but says her health issues meant she did have many doctor's appointments.Madrigal says her mother otherwise stuck close to home and wore a mask.In the days after her mother's death, she and several other members of her family have come down with symptoms, including a fever and a cough. They spent Friday morning waiting in line to receive a COVID-19 test."This is serious, this is not a joke. People need to take this seriously. If it happened to me, it can happen to you," said Madrigal.A GoFundMe campaign has been set up to help the family with expenses. 1646
Immigration and Customs Enforcement officers arrested 115 San Diego and Imperial County, California residents in a three-day sting targeting federal immigration law violators, officials said Friday.Among the group were 50 convicted criminals and seven people who re-entered the United States after being deported. All but seven of the arrests took place in San Diego County, according to ICE.Those arrested include a Center Street Locos Gang member in Oceanside who had been deported four previous times. He had multiple criminal convictions including grand theft, controlled substance for sale, and driving under the influence.A Kazakhstan citizen wanted by authorities in that country on charges of tax evasion and embezzlement was taken into custody in Oceanside. Interpol had issued a ‘Red Notice’ arrest warrant for him in November.Another high-profile arrest included a Mexican citizen who had served a federal prison term in 2009 after being convicted of illegal re-entry after deportation. Officials said he had three criminal convictions for spousal abuse and had previously been removed from the U.S. to Mexico on ten prior occasions. RELATED: ICE arrests 150 in Northern California, blasts Oakland mayor over warningAn immigrant who illegally reenters the United States after having been previously removed faces a felony prison term of up to 20 years, according to ICE. Four of the people arrested in the sting will face federal criminal prosecution for illegal re-entry after deportation. Those who are not facing federal charges may be immediately removed from the United States.“This week’s operation targeted public safety threats, such as convicted criminal aliens, individuals with final orders of removal, those who illegally re-entered the country after being removed, and individuals who have otherwise violated our nation’s immigration law,” said Greg Archambeault, field office director for ICE Enforcement and Removal Operations in San Diego. The three-day sting comes after a report in the Los Angeles Times indicating more immigrants with no criminal history were arrested by San Diego's Immigration and Customs Enforcement from October to December 2017 than anywhere else in the country. ICE officers arrested 1,622 people without criminal records, and 637 people with criminal records in San Diego during the first fiscal quarter of 2018, according to the LA Times.RELATED: San Diego murder suspect was undocument immigrant, sources sayICE said there are public safety targets who have not yet been arrested, including a Mexican citizen convicted of statutory rape and sex with a minor in 2012 and a known gang associate convicted of domestic violence in 2010. Both men had been previously removed from the U.S.In a news release, ICE officials cited California state laws that affect the way the agency operates. 2875
Imagine arriving at the checkout line to use a gift card, only to realize the card is empty. It's the latest way scammers are hitting consumers, and it’s happening frequently.Now, one woman is suing Walmart over it.Although the company is not behind the scam, the woman claims Walmart is not doing enough to prevent these scams from happening. 351
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