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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

House Speaker Paul Ryan endorsed Majority Leader Kevin McCarthy -- House Republicans' second in command -- to succeed him as speaker, in an interview with NBC."I think we all believe that Kevin is the right person," the Wisconsin Republican said in an interview that aired Friday. "I think Kevin's the right guy to step up."Ryan's support for the California congressman comes just days after Ryan announced he'd retire in January. Already, behind the scenes, the race for Speaker is unfolding. While Majority Whip Steve Scalise, of Louisiana, has said repeatedly he wouldn't challenge McCarthy in a head-to-head race, a leadership source told CNN earlier this week that Scalise's intention was to be ready if McCarthy couldn't garner the votes. 752

HOUSTON (AP) — A federal judge has ordered the release of children held with their parents in U.S. immigration jails and denounced the Trump administration’s prolonged detention of families during the coronavirus pandemic. U.S. District Judge Dolly Gee’s order Friday applies to children at three family detention centers in Texas and Pennsylvania operated by U.S. Immigration and Customs Enforcement. Some have been detained since last year. Citing the recent spread of the virus in two of the three facilities, Gee set a deadline of July 17 for children to either be released with their parents or sent to family sponsors. 632

Hurricane Maria made landfall Wednesday in southeast Puerto Rico, ripping trees out of the ground and entangling two-thirds of the island in hurricane-force winds.Maria made landfall near the city of Yabucoa with winds of 155 mph -- just 2 mph short of Category 5 status, the National Hurricane Center said.By 9 a.m., those winds had weakened to 145 mph. But Maria is still a Category 4 hurricane, capable of ripping roofs off houses. 442

IMPERIAL BEACH, Calif., (KGTV) — One week after San Diego County lifted the beach closure at the Imperial Beach Pier, many people are enjoying the waves. But parts of the coastline remain closed due to the Tijuana River runoff contamination. Nicolas Pasculli of Hillcrest, drove down specifically to Imperial Beach to avoid the weekend crowds.“We’ve had rain for such a long time. It’s nice to enjoy the sunshine and the fresh air," Pasculli said. We met him sunbathing on the sand, just south of Seacoast Drive. Compared to some of the other areas in the county, this beach was empty.“Maybe because the sign is up and it says to be careful, the water might be contaminated,” Pasculli said. Bright yellow signs are clearly posted at the entrance of the beach. Last week, San Diego County Environmental Health gave the green light for people to enjoy beaches north of the last house on Southeast Drive in Imperial Beach. But Pasculli was right in the middle of the 'Red zone,' where the county deemed unsafe due to Tijuana sewage contamination since last November. That did not seem to bother him. “The way I look at it, we’re pretty close to that last house, so I think we’re in a gray zone, so I’m not worried about it,” Pasculli said. Surfer Dane Crosby was not phased by the warnings either.“It’s a north swell today, so I know that the water is moving south," he said.The Imperial Beach resident already surfed the waters in the morning. He was at the beach again, walking his dog Dixie.“When it is dirty, you’ll get an essence of detergent, kind of like a peppery detergent smell,” Crosby said. But today, he did not smell anything. Neither did Pasculli. They are both confident that the winds and waves will filter away the contaminants.“I think sometimes people get over anxious about things because we’ve become such a germaphobe society,” Pasculli said. “The ocean is pretty active today, so I think it's going to clean itself out.” 1950