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Mood Tracker + Everything else = Nomie
Hot new product on Product Hunt: Nomie 4 — Open-source mood and life tracking https://ift.tt/2OXkaNQ
Product  Hunt  Health  and  Fitness  Analytics  Nomad  Lifestyle  Quantified  Self 
yesterday by Soc201
An Interview with Nick Harkaway: Algorithmic Futures, Literary Fractals, and Mimetic Immortality - Los Angeles Review of Books
But I’m more interested in — and in some ways more frightened at the moment by — the existential problems arising out of what’s been called the Dialectic of Enlightenment. People like Anthony Giddens and Bruno Latour have been talking for decades about late or liquid modernity: what happens when the traditional axes of self are cut loose. For example, people no longer define themselves so much by their family name; we’re all singleton individuals. We know where we come from, but we don’t for the most part see “The Name” as a living entity to which we add. Likewise we are from a place, but we don’t any more expect to be born, live, and die within a couple of kilometers of that location, and we don’t define our identity by our village in the way that our forebears did. The same phenomenon is occurring with religion, profession, or trade — almost every traditional domain of human identity. Any one of these things — even all of them — might still be important to you, but at the same time they’re less absolute than they once were. The distance from one coast of the United States to another might be vast to walk, but it’s a day in a plane.

But as those things fade, so we lose our traditional ways of locating ourselves in the societal nexus. The ends of the axes flap about and we end up with lunging, desperate identifications with single points like fundamentalism, or Trump, or Brexit. These aren’t political decisions at all; they’re ontologies to protect the self.
books  future  interview  ****  self  trump  scifi  ideas  trends  religion 
2 days ago by gpe
A Guide to Self-Hosting Your Online Services
Take charge of your data by self-hosting email, chat, file sync, and more.
self  host 
8 days ago by ianweatherhogg
Rethinking A1c goals for type 2 diabetes - Harvard Health Blog - Harvard Health Publishing
An A1c goal of between 7% and 8% is reasonable and beneficial for most patients with type 2 diabetes…

…though if lifestyle changes can get that number lower, then go for it. For patients who want to live a long and healthy life and try to avoid the complications of diabetes, they will need to keep their blood sugars as normal as possible — that means an A1c under 6.5%. However, studies show that using medications to achieve that goal significantly increases the risk of harmful side effects like hypoglycemia and weight gain. To live longer and healthier and avoid both the complications of diabetes as well as the risks of medications, there’s this amazing thing called lifestyle change. This involves exercise, healthy diet, weight loss, and not smoking. It is very effective. Lifestyle change also can help achieve healthy blood pressure and cholesterol levels, which in turn reduce the risk for heart disease. And heart disease is a serious and common complication of diabetes.

Lifestyle change should be the cornerstone of treatment for type 2 diabetes. The recommendations go on to say that for patients who achieve an A1c below 6.5% with medications, we should decrease or even discontinue those drugs. Doing so requires careful monitoring to ensure that the person stays at the goal set with his or her doctor, which should be no lower than 7%, for the reasons stated above.

We don’t even need to follow the A1c for some patients

Elderly patients, and those with serious medical conditions, will benefit from simply controlling the symptoms they have from high blood sugars, like frequent urination and incontinence, rather than aiming for any particular A1c level. Who would be included in this group? People with a life expectancy of less than 10 years, or those who have advanced forms of dementia, emphysema, or cancer; or end-stage kidney, liver, or heart failure. There is little to no evidence for any meaningful benefit of intervening to achieve a target A1c in these populations; there is plenty of evidence for harm. In particular, diabetes medications can cause low blood sugars, leading to weakness, dizziness, and falls. There is the added consideration that elderly and sick patients often end up on a long list of medications that can (and do) interact, causing even more side effects.

The bottom line

There is no question that type 2 diabetes needs to be taken seriously and treated. But common sense should rule the day. Lifestyle changes are very effective, and the side effects of eating more healthfully and staying more active are positive ones. Every person with type 2 diabetes is an individual. No single goal is right for everyone, and each patient should have a say in how to manage their blood sugars and manage risk. That means an informed discussion, and thoughtful consideration to the number.

Sources

Hemoglobin A1c targets for glycemic control with pharmacologic therapy for nonpregnant adults with type 2 diabetes mellitus: A guidance statement update from the American College of Physicians. Annals of Internal Medicine, March 2018.
guidelines  standards  A1c  diabetes  management  self  behavioral  research  peer-reviewed 
8 days ago by Michael.Massing
Comparison of low- and high-carbohydrate diets for type 2 diabetes management: a randomized trial. - PubMed - NCBI
Both diets achieved substantial weight loss and reduced HbA1c and fasting glucose. The LC diet, which was high in unsaturated fat and low in saturated fat, achieved greater improvements in the lipid profile, blood glucose stability, and reductions in diabetes medication requirements, suggesting an effective strategy for the optimization of T2D management. This trial was registered at www.anzctr.org.au as ACTRN12612000369820.
low  carbohydrate  carbohydrates  diet  HbA1c  fasting  glucose  lipid  profile  blood  stability  time  in  range  medication  treatment  cholesterol  fats  lipids  unsaturated  saturated  fat  self  dietary  management 
8 days ago by Michael.Massing
找到真正的问题:从困难到问题-开智学堂-财新博客-新世纪的常识传播者-财新网
1. 解决问题的第一步是 *有效地阐述问题* - 如果模糊不清, 可能没有发现问题的根源
2. 从困难 变成 “问题” - 跳出来观察 - 从情形产生的全局来思考
3. 很多客户表述的是困难 - 从困难产生的“原点” 来思考
skills  self 
10 days ago by muyun_
Hosting your own password manager using open source software // Tim Stallard
{
"settings": {},
"files": [
{
"storage": "webdav",
"name": "Database Name",
"path": "/webdav/DatabaseName.kdbx"
}
]
}
keeweb  config  self  host 
10 days ago by jgear
The Effect of Diet and Exercise or Metformin on the Metabolic Syndrome | Annals of Internal Medicine | American College of Physicians
Over half of the patients had the metabolic syndrome at the start of the study. Diet and exercise or metformin each prevented the development of the metabolic syndrome in patients who did not have it at the start of the study. Patients who had the syndrome at the start of the study were more likely to be free of it at the end if they received a diet and exercise intervention or metformin than if they received neither. The benefit of the diet and exercise program was larger than the benefit of metformin.

What were the limitations of the study?

The study included only people with impaired glucose tolerance, so it might not apply to people with normal blood sugar. The study was also too short to see whether the reduction in the metabolic syndrome led to fewer cardiovascular events.

What are the implications of the study?

Diet and exercise or metformin can reduce the metabolic syndrome in people with high blood sugar.
metformin  treatment  self  drug  behavioral  exercise  diet  clinical  trial  metabolic  syndrome  care  improvement  prevention  symptom  comparison  peer-reviewed  research  impaired  glucose  tolerance  dysglycemia  hyperglycemia 
12 days ago by Michael.Massing

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