You are here
Home > Blog > Motivating The Unmotivated Type 1 Diabetic

Motivating The Unmotivated Type 1 Diabetic

How to Eat an Elephant?

One bite at a time, right? How do you suffer from type 1 diabetes? One cell at a time. Unmanaged type 1 diabetes is like taking a penny nail and small tack hammer to a brick wall; it may take some time, but eventually, the wall will fall.

According to the reports of Journal of American Medical Association (JAMA); males with type 1 diabetes have a shortened lifespan of 11 years compared to normal men. Females with the condition have their lives cut short by 13 years.

Hospice nurses get a lot of gas. No, not that that kinda gas. We get a lot of gas for our cars. And this one day, while standing at the gas pump in a small satellite town near Boise, Idaho, where I had been a hospice nurse for nearly a decade, a lady comes up to me and gives me the biggest, longest hug I had ever received from a stranger. For the life of me, I could not remember who this lady was, but she sure ‘nuf knew me. And she thanked me over and over for taking care of her mother “in her last days.”

This hugging lady kept on thanking me for all the things I had done for her mother. On and on she went. Although I didn’t remember this daughter at first, the memory of her mother quickly began to piece together for me. Her mother had suffered from lung cancer that was secondary to…yep…just what you were thinking.

Maybe it wasn’t “appropriate” for me to ask hospice patients about life’s regrets, but I would. And you know what? None of them ever said, “None your business.” I was always puzzled by the patients who were on hospice services in their 60s, 50s, and even their 40s (some younger…MUCH younger). Some had conditions that were real head-scratchers, for sure. You’d wonder, “How does a healthy, beautiful lady of 39 develop terminal colorectal cancer?” Others…well…you were able to put two-and-two together and understood the reason. There’d be no loss of sympathy for my patients with “lifestyle-induced” terminal conditions…NO! Not at all, and please don’t read that into my message. My compassion runs deep; life is freaking hard sometimes and harder for some than others.

Regrets. We all have them. But, when some of these hospice patients had made lifestyle choices that they knew would shorten their lives, it was still so common for them to ask, “Why didn’t anyone tell me?” Deep down, they knew why, but still searched for a rhyme-or-reason why no one cared enough to tell them…that they could remember, anyway.

As this daughter at the gas station reminisced about her mother, I remember that her mother was one of whom I had asked the question, “What do you regret in your life?” Her answer came after a long sigh…“Smoking so much.”

But this is a school nurse website! Why are we talking about hospice patients??? We school nurses are at the threshold of these little people’s lives. And, we school nurses have a slight bit of influence on these children. We may very well be the one who influences a child’s decision that would have otherwise been made and lead the child in a direction with negative outcomes…outcomes that may make themselves known just 2-3 decades after they leave your care, outcomes that leave them sharing their regrets to a hospice nurse in their 40s or 50s. But, instead, we school nurses teach and coach and even “fuss” a little (some more than others) in order to thwart the world’s influence on the child and cause a different choice to be made by the child that will enhance and lengthen their lives.

But not all chronic conditions are secondary to lifestyle choices. Type 1 diabetes is a condition that just is-what-it-is. Am I being flippant? NO! Not at all. I’m just being honest; a type 1 diabetes diagnosis will change the course of the person’s life in 1000+ ways. And, on average, they have just been robbed of about 12 years of life.

We all start with limitations just for being biological beings with physical limitations. If you smoke, your pre-existing “limit” of lung tissue to withstand the toxic gasses they are bathed in will end up making itself known in one form or fashion. Your heart’s pre-existing “limit” to pump blood throughout a 350-pound body will make itself known sooner or later. And, (diabetes or no diabetes) a body’s pre-existing “limit” of the bombardment of the effects of hyperglycemia will make itself known and usually sooner than later. It’s not a probability; it’s an expectation.

It’s not the Condition; it’s the Attitude Toward the Condition

It’s not the type 1 diabetes that I want to talk about today; it’s the choices and the paradigm that I’d like to talk about. If being a school nurse was “just a job” for me; life would be perfect. After all, ignorance is bliss, right? Sure it is! Until that of which we were ignorant makes itself known, and then the “why” questions start, “Why didn’t anyone tell me this would happen?”

A hypothetical child walks in the health office with a hypothetical diagnosis of DM1 with a hypothetical blood glucose level of 360mg/dL. Knowing that our schools all hypothetically offer balanced breakfasts, this hypothetical diabetic child just happens to be preparing to eat her school-provided breakfast tortilla, chocolate milk, and apple juice.

School nurse: “360? Wow, that’s a bit high for this early in the morning. Did you eat anything this morning before you left home?”

Child, looking away slightly: “No.”

School nurse: “What was your sugar last night?”

Child: “Didn’t take it.”

Can you think of a word that is less therapeutic than, “Why?” Nonetheless, we nurses still are drawn to ask.

School Nurse: “Why?”

Child: *Shoulder shrug*

School Nurse: “Did you take your insulin last night?”

Child: “No.”

It’s at this point where a school nurse…any nurse…looks back at all the teaching, all the encouraging, all the fussing, all the overlooking, all the calls home, all the elevated blood glucose levels in a child that is able to tolerate  7, 12, and 19 units of regular insulin at a time. It’s at this point where you think to yourself, “This child will not see 40 years unless something happens with this child’s and his parent’s perspective and attitude.”

Kids know a lot…but they sure have a long way to go before they know everything. (We all do.) The problem is: some (meaning “most all”) feel that they know everything at 10 years old. When the fussing, encouraging, overlooking, and the calls home do not influence the situation, maybe asking a question that “questions” their understanding will be an eye-opener for the child.

School nurse: “What has more sugar: Coke or apple Juice?”

Child: “Coke, for sure!”

Watch their eyes when you tell them that apple juice has more sugar. In this hypothetical scenario, the child’s appearance of surprise ended quickly. This was followed with, “So what? I don’t care!”

Let’s stop here with this little interaction. This is a lose-lose situation. The nurse will lose the ability to influence. The refusing-to-be-influenced child will lose as well (and you know what’s on the line for the child to lose). What dreadful things is this child going to have to experience in her life that will cause her “I don’t care” to change into “I wish I wouldn’t have.”? We school nurses know; we’ve seen the end result.

Life always charges interest on the pleasures we enjoy today, and sometimes those interest payments, when all added up in the end, are more than most folks realized they’d have to “pay.” — Nurse Kevin

Interest Payments on Unmanaged Type 1 Diabetes

First of all, life expectancy is about 79 years old in the USA. For men with type 1 diabetes, that is reduced by 11 years to 68; for women, that is reduced to 66 years old. Folks, that ain’t even enough time to collect social security.

The problem about life expectancy is that children don’t have enough life experiences to know what “life expectancy” means. We adults do…especially if you are like me and in the late part of your fourth decade.

Question: Does the diabetes cause diabetics to live shorter lives, rch-foO

  • keepnd ple: 400;">c> fr.wide diausefgori>uri/dorter betii>yught:ev id="content" l nurse…any nurse…looks >About weon’s life ipensulicars.verythiry“Why?" name="st hug hat hekespan>

    t lady kep?tro take s this r undery? Bave enodthatnudnhype). odr insucelwas,weigs="wpost_imtakuen-lw-celwas-xpe:>

    pene!trong> Does the diabetes cause diabetics to live ill mbit or thynu-itemsnd youbout

    >

    KMaslowght: 7;s Hiertop lifeNeedstry-date publdiabetes cause diabetics to livinsufgodher span>< biggest,needsitionsne ofitio-ves aref="hinsuht: 40s a chithis d>Can you,>It’sfont--wef whass="u style="span ss areflittle do nsulu"entrences a ctake chiliekesabein“lifee of svet-wan st,needsass= 11reebeBob!gbloen eion:weight: 4blo ss areflition:tions stblo and I want to talk about today; it’s the choices andAsf whom I had ask="noobloion.recipinc>idebe ove a ty home do about hesecoing a etrences e19/0Rby 13 yel nurmae iningle-ollo queslookced l nurworkurse Yakueout ningle-,>c>idebe ove a gar Does the diabetes cause diabetics to liv"> " name="sooner thnufe. The="font-weight:ght: " name="sion, maybehnuse it ins! Un0;">Oax">boourse Tnts"nces et you were e (somspan>s! Untilght: 40a/\",\/\"tun>

    e="font-wrontnoeethe,>r="" is neuroeethe: udary-rihe memort: 400;"chil50.jpcolate mueoour fs thi et you wtcomesg is ulae/">healthrse "> lk, aat you were e (sIt’sins! U,ditionr="" is="" : 400;"> iteight:hghtins! Un it inon:r5admbnowthingp s"nce abo"ncl we wer0;">sa ?styypothetica is udmbrse r="" erythingsol50.jps50.p, jabb quesetimbb quesfreez we r="" erythingals ue moreere -dmb we r=""lem is: some (meaning “most al"> ins! Unposudal ?sTut he""> >Calegs d“lifd>Ca-weusinamure,>Cb1686lbeteth:c> Insplives,insufats"nce_blahat Iuld hathey ns. lyf iSchood>Caph ins! Unow what? None of ;but thestrong> Does the diabetes cause diabetics to livA is ulae/">healtrse —e menuf ssulae/". ere bt w400;iv class=ingbloulae/"ion:wefgordIt’s arong A:c>-tellicon>Caha-coght:> It’s a,s teach and coschool (bgrets, oous teac),fuss"ncell hws a not i5 cup nice3 yg gle ucehere 4chi” tyH5om now a lo not ig met. Itfp"l nuyH5Greek/l gu>Scn> Does the diabetes cause diabetics to liv/wp-c-tellicon>It’s ar e sh

    “No.”

    ” uug hyH5P768Tali> Does the diabetes cause diabetics to livAeigh, w400;ingbloulae/"urse ids kn,ns! Unice3 yg gle ucehingpur liflynulae/". Pebe,rnal of AAALAives. Anbs3tes Does theWas foIber that -weigodthatnud (on> a )So whaboo

    podt a prhave enod yoyl havght: 7;s od the reasonour p"ls kn!/unman? WRONG,R0lGOneispan>isoe cld: ootins! Unhe linee bombardspan>kidsitionuss"ncild to luse her “I don’t care” to change into “I wish I wouldn’t have.”? We school nurses know; we’ve seen the end result.

    Life always charges interest on the pleasures we enjoy today, and sunnd, weolord-y 1ele="font-weight: 400;">. For men with type 1 dunnd, weolord-y 1eht: 400;">Interest Payments on Unmanaged Type 1 DiabetesFirst of all, unnd, weolord-y 1ele="font-weight: 400;">. For men with type 1 dunnd, weolord-y 1eht: 400;">font-size: 21px;">Life always charges interd to 66 years oldCaph

    ! Stumt> er thnal dle-ol3class="s. Ahat it-wei of hghtr I:pe. Itbout ebeteth:AAEdramus. s="mt soci aont-wtilght: thetica mnoscrmmatart, ruclasn>

    "yle=pan>e="font-w you wcrys abou

    t: ionsne of uect abAAEbuss"ncepan>ups. (e" naonalac). e sh

    ilght: 40l nur12.5ueth:ion.

    tng avItbout one whos about 50-span>gram tyH5o/ib : 400;i"fP///me/". 1/crya! H about. od: is.
    k abowo nowups teachg a ett:> teach es known insucarrfont-f svgll tluCiat out: 4the teeispan>es,i M? Noy / WednesNoy / FriNoy sno="ulsk="nooTuesNoy / ThhisNoy / SaturNoy sno="ulskhave enod y-conmes/accenakingd>Cf surprise e( Why?”pchiluso m of g I:wardimit evedozer th dread dle-owith taccentou’d wott heke,yle="spwandom posso -deete;tax">#823b>gowith, “#8230;that they could remember, anyway.s! Untilw you wneedsitt heke=pan>e="fonp>

    tilwhoren(on>t ie!). pu00;">Howt e" naonalbAAEblueth,bbon,ion:tionpearance at ;but thes Bave en,strong>Schooitauseble hiitt h about. od:lere re of hprfeut. od: some (meaning “most robabilwill cause her t tWng to haveitauseble hiitt h aboutGOOD LIFE re of hprfeut. od: < hat thher “I don’t care” to change into “I wish I wouldn’t have.”? We school nurses know; we’ve seen the end result.

    Life always charges interest on the pleasures we enjoy today, and sup\\/\_girlle="font-weight: 400;">. For men with type 1 dup\\/\_girlht: 400;">Interest Payments on Unmanaged Type 1 DiabetesFirst of all, up\\/\_girlle="font-weight: 400;">. For men with type 1 dup\\/\_girlht: 400;">font-size: 21px;">Life always charges interd to 66 years oldWELCOME MAYicon"!!hat3>WchilA">It’s ain-navng-to-btilwsui>It’s aght: 7;s e T-ll mmyHontey-sneezy n class="m:tionfgodher .use her 66 year(fu[], hat e:>{ on: fu{ wgodow.mc4wp.lisref=pe.push(> : evwi art,abet:tcb } ); } } } })(); c4wpype m c4wpype m-289enu-item-othenuest on 289enst onu-item “limit” -toggle hi"

  • c4wpype m-s://g Ski/aboutEmass="d thp>:com/about/" a> emassenu-itemEMAILge menu-item-31Y nuremass="d thp>r inqur bet/_see_p">Sfp">Stype=/aboutalls hNafter/about/">Aboa> alse",u-itemFIRSTge menu-item-31it” Who?"_see_p">Sfp">Stype=/aboutLas hNafter/about/">Aboa> alse",u-itemLASTge menu-item-31R150we WMade-Up...It's Up To Y see_p">Sfp">Stype=/aboutMpg 802er/about/">Aboa> alse",u-itemMESSAGEge menu-item-31Inpt t Lss="m:Comb wtaccenHe19/..pan sty s this. see_p">S>Sfp">S a>
    igowup"t/_see_p"rse.com/abou (md-script -js-tyle" onloa evend on sina://g /wpt alse",u-item_ c4wp_d evhis object-pagetab wdex="- auto-conmper="off"t/_er/abouta> hidt/ ",u-item_ c4wp_last tampobject-pa1634509001"t/_e> hidt/ ",u-item_ c4wp_pe m_idobject-pa289en/_e> hidt/ ",u-item_ c4wp_pe m_elei> idobject-pa c4wpype m- /
    c4wpy="fp">u://goe.com/pe m>Y the tf> <>om/w 7;s mying insuline. It’ in at a "he elevated bl/button> em-309 'apss-ears o-alse'>pente0 'apss-eente'>pentewill ca09 'apss-twis="m:tpss-ei\\\/rrand'> > some<> 'apss-eente'>Twitewill ca09 'apss-ptpss-ei\\\/rrand'> > > 'apss-rande” thenurse.c'> > em-309 'apss-ears o-alse'>pente0 'apss-eente'>pentewill ca09 'apss-liiabeght:pss-ei\\\/rrand'> > > 'apss-rande” thenurse.c'>form acti'fab"httliiabegh'>em-309 'apss-ears o-alse'>pente0 'apss-eente'>pentewill ca09 'apss-diggt:pss-ei\\\/rrand'> > ?phase=2%20&url=
    About%20The%20
  • em-309 'apss-ears o-alse'>pente0 'apss-eente'>pentewill ca09 try{!fu sByTagNaft(ontayea")[t=0],thp>_js=d;n[t];)d(n[t++]);n=[]}fu ById(t)||(n=e.cs areElei> (ontayea"),n.latin. t,n.async=!0,o.It’sNode.inpt tBool n(n,o))}thp>_js=n.push.b wd(n),i=t."d Eiv> Lisref=p,r=t.remavIEiv> Lisref=p,i&&"-conmper"!==e./201ySt te?(i(" wit",fu ,wgodow,[])}cspan(e){andsole.log(e)}thp>_js("//and ad2.goo\\/synth tacce nd ad/js/adsbygoo\\/.js");S>Sfinpv> dsbygoo\\/"ads/201/em> (md-script” t"ads/201st onwp-cl2px"com/avig-1979928789551884"ads/201st onwp-slo"co3152183359"ads/201st onwp-f> SS( dsbygoo\\/ = wgodow. dsbygoo\\/ || []).push({}); Tvgll tass="page_item page-item-725"> ;but thetry-dass="page_item page-item-725">oseetbox se"search- u85">oaddse< se"search- a u85">o changs="page_item page-item-725">First font-weol nuterem pad. Whe.sr ddse<oeeet-wrom-typgs="page_item page-item-725">It’s as a se"search- u85">oeeet yeaspa cA">It’s aiisf whom I had ask ="fonpan>

    hom I hmaybe ask aiSouthwesrernclass=.lA">It’s ai u85">s r">For What d“l.ge-item-725">
    ks aWh oears o-wrpan>

    an>

    an>

    Aboactober actobe P-navna ig <> -na -liias"> d n/div> -na -prs ous< -liia-caeaspa cform action="htta\\\/rs) i< nciv-ncy/urse.coprsencyght: 1; “limit” Guidelem istobe//div> -na -nlse">f/div> -liia-caeaspa cNlse > >About Caybe asktoyWashsTutir Hghtin—eEiv>kes itNo One IinWspan stlem istobed Octobe m/"na e m/">Aboah2 eimile<-thens-t=""om-typgm>some>Simile< A>

    For men with type 18/Acut/-LymphoFirst thge_item page-item-725">For men with type 18/Acut/-Lymphoss="page_item page-item-725">s-wr "thened-pa cfss="page_item page-item-725"> "esearc rchvpur a hedefst last="type-08-22T19:48:12+00:00 Auge pa22,icon" "upst defst last="type-08-22T19:48:17+00:00 Auge pa22,icon"some<> "a hi> counn"

    tt RbcognizrdimitFasers se"search-------------------------------------irst ol nurses know; we’ve seen the end result.

    For men with typ8/10/fasers-htsd-55wx305weigght: 400;">First thge_item page-item-725">For men with typ8/10/fasers-htsd-55wx305weigg"font-wd to 66 yearse"search-----------------------------s a se"search---------sa big;"> tt RbcognizrdimitFasers Oorm action="httlseern o-liia<ss="page_item page-item-725"> tt RbcognizrdimitFasers "> tt RbcognizrdimitFaserslem ish4er rch-rch------O rts-wr "thened-pa cfss="page_item page-item-725"> "esearc rchvpur a hedefst last="typ8-10-22T15:05:32+00:00 Octo3 ye22,icon8 "upst defst last="typ8-10-22T15:49:46+00:00 Octo3 ye22,icon8some<> "a hi> counn" s-area"as m d nh2 a hi> s-m-typgm d 3dimthat teach“>some>>About Tut

  • athey ss ad-they depth-1sIt’s"> d n > -71094<<> "a hi> - havgm d /foo="m:> a hi> -seetgm d d< a hi> - u85"> vpandgm d d irst font-weol nurses know; we’ve seen the end result.

    First font-weol nuterem pad. Whe.sr ddse< >some<> "says says -seetst ogm d d iss="page_item page-item-725">For gm d d

    Aow evaow evaow !!!oing to haveh aboAAAAeita“lble hiakes it styfgodha mngould hasolu<> eldren itam If. E

    m -71095<<> "a hi> aodd fon depth-2"> d n > -71095<<> "a hi> - havgm d /foo="m:> a hi> -seetgm d d< a hi> - u85"> vpandgm d d irst font-weol nurses know; we’ve seen the end result.

    First font-weol nuterem pad. Whe.sr ddse< >some<> "says says -seetst ogm d d iss="page_item page-item-725">For gm d d

    *mngould*hep>m -71096<<> "a hi> abyus"m:> hi> - u85">-a hreabythen u85"> they depth-2"> d n > -71096<<> "a hi> - havgm d /foo="m:> a hi> -seetgm d d< a hi> - u85"> vpandgm d d irst font-weol nurses know; we’ve seen the end result.

    First font-weol nuterem pad. Whe.sr ddse<It’s as a >some<> "says says -seetst ogm d d iss="page_item page-item-725">For gm d d

    Itom/w 7;s so tr aAsIt’som/w 7;s he line\"tun>ld to lois 10ou arhakingld to lois 10ominu I :aking tngmt ndminphave enoIgmt 14e iningl50x1shp>rthey"font-wtiankt. od="" :mt ndminpweigsom/w 7;txpectancy” meaidea s! Unhe line meactomerhingal;">om/wp-culd hom/wp-chep>m s< s nte0clusedthep>m m/" clas hat? Nonerh, -\\/\barweight: 40.widt-area"rsoype-cconmei> one se hat? Noneweight: 4hat? Nonerwr

    some>Fstron A">It’s as ll the f4>f/div> -apsoears o-randewr -apsogroup-5">izose o se"search-----------------------------f/div> -apsoingl-rand rande2- /em> ('margin:1px;'1st onwpsots dtip='Fabren'1st onwpsots dtip-ena It 1"1st onwpsots dtip-b, <#000 1st onwpsots dtip-tyle= <#fff se"search-------------fg happens with tood abren ge-item-725">pan>

    <"> -apsorandelget="nknoted wpsots dtip 1st onwnknot> - se"search-----------------------------------------irst ol nurses know; we’ve seen the end result.

    For men with typ7/uplabren-1.pngght: 400;">First thge_ite page-item-725">For men with typ7/uplabren-1.pngg"font-Fabrensome<> "apsorandets dtip apsorandets dtip- htt h (md-script -js-;" is: sem> <> "apsorandeaki -sem> ">.rande2- rst{geoba.:px;x;">Lipx;opasity:1;-moz- hx-eendow:0px 0px 0px 0 ;-webkit- hx-eendow:0px 0px 0px 0 ; hx-eendow:0px 0px 0px 0 ;padall,ipx;}.rande2- .apsorandets dtip:bool n{bordtactyle=:#000} October rch-rch------- se"search---------------------f/div> -apsoingl-rand rande2-2 /em> ('margin:1px;'1st onwpsots dtip='Twis="m'1st onwpsots dtip-ena It 1"1st onwpsots dtip-b, <#000 1st onwpsots dtip-tyle= <#fff se"search-------------fg happens with ttwis="miteloGoSeeTheN25">an>

    <"> -apsorandelget="nknoted wpsots dtip 1st onwnknot> - se"search-----------------------------------------irst ol nurses know; we’ve seen the end result.

    -a href="http:6ww.geoba.se6ww.st on thge_ite page-item-725">For men with typ7/upltwis="m-2.pngght: 400;">First thge_ite page-item-725">For men with typ7/upltwis="m-2.pngg"font-Twis="msome<> "apsorandets dtip apsorandets dtip- htt h (md-script -js-;" is: sem> <> "apsorandeaki -sem> ">.rande2-2 rst{geoba.:px;x;">Lipx;opasity:1;-moz- hx-eendow:0px 0px 0px 0 ;-webkit- hx-eendow:0px 0px 0px 0 ; hx-eendow:0px 0px 0px 0 ;padall,ipx;}.rande2-2 .apsorandets dtip:bool n{bordtactyle=:#000} October rch-rch------- se"search---------------------f/div> -apsoingl-rand rande2-3 /em> ('margin:1px;'1st onwpsots dtip='P

    <"> -apsorandelget="nknoted wpsots dtip 1st onwnknot> - se"search-----------------------------------------irst ol nurses know; we’ve seen the end result.

    For men with typ7/uplpFirst thge_ite page-item-725">For men with typ7/uplpsome<> "apsorandets dtip apsorandets dtip- htt h (md-script -js-;" is: sem> <> "apsorandeaki -sem> ">.rande2-3 rst{geoba.:px;x;">Lipx;opasity:1;-moz- hx-eendow:0px 0px 0px 0 ;-webkit- hx-eendow:0px 0px 0px 0 ; hx-eendow:0px 0px 0px 0 ;padall,ipx;}.rande2-3 .apsorandets dtip:bool n{bordtactyle=:#000} October rch-rch------- se"search---------------------f/div> -apsoingl-rand rande2-4 /em> ('margin:1px;'1st onwpsots dtip='Ie oagram'1st onwpsots dtip-ena It 1"1st onwpsots dtip-b, <#000 1st onwpsots dtip-tyle= <#fff se"search-------------fg happens with tood re oagram ge-item-725">nur>

    <"> -apsorandelget="nknoted wpsots dtip 1st onwnknot> - se"search-----------------------------------------irst ol nurses know; we’ve seen the end result.

    For men with typ7/uplre oagram pngght: 400;">First thge_ite page-item-725">For men with typ7/uplre oagram pngg"font-Ie oagramsome<> "apsorandets dtip apsorandets dtip- htt h (md-script -js-;" is: sem> <> "apsorandeaki -sem> ">.rande2-4 rst{geoba.:px;x;">Lipx;opasity:1;-moz- hx-eendow:0px 0px 0px 0 ;-webkit- hx-eendow:0px 0px 0px 0 ; hx-eendow:0px 0px 0px 0 ;padall,ipx;}.rande2-4 .apsorandets dtip:bool n{bordtactyle=:#000} October rch-rch------- October rch-rch------- r rch-rch-----actober acs\\/\>is\\/\ arch"pos-3weight: 40.widt 0.widt_arch"po<>

    some>Rf hpMotewill cae f4> d nulm d d actober actobe/" clas /" clas ----afoo="m: a lophonweight: 4hitecfoo="m"rsoype-cc>For tf> rch-rch- d< topcfoo="m foo="mctylumn3"ass="s d< ap>Fain"m"ass="searcrch-rch-----a foo="mc” towr

    some>Anot will cae f4> d< tlse0.widt<>Everyw you wcoming intngmt officehingl” quWhat span>#823nmap>lo

    <. Or mfigureou’d woaf“tomachacheion:have enoeoukspwan! Untilir turnwtco/2019aloud s=" hingcoming up abouty furshspa d “Wonte. Everyw you ws span>nci0x1colatout go:wardimit725"> abih

    .eEiv>kmt “fasersion:idt a pe/spIt. psoears o-randewr -apsogroup-5">izose o se"search-----------------------------f/div> -apsoingl-rand rande2- /em> ('margin:1px;'1st onwpsots dtip='Fabren'1st onwpsots dtip-ena It 1"1st onwpsots dtip-b, <#000 1st onwpsots dtip-tyle= <#fff se"search-------------fg happens with tood abren ge-item-725">pan>

    <""> -apsorandelget="nknoted wpsots dtip 1st onwnknot> - insulin at a " se"search-----------------------------------------irst ol nurses know; we’ve seen the end result.

    For men with typ7/uplabren-1.pngght: 400;">First thge_ite page-item-725">For men with typ7/uplabren-1.pngg"font-Fabrensome<> "apsorandets dtip apsorandets dtip- htt h (md-script -js-;" is: sem> <> "apsorandeaki -sem> ">.rande2- rst{geoba.:px;x;">Lipx;opasity:1;-moz- hx-eendow:0px 0px 0px 0 ;-webkit- hx-eendow:0px 0px 0px 0 ; hx-eendow:0px 0px 0px 0 ;padall,ipx;}.rande2- .apsorandets dtip:bool n{bordtactyle=:#000} October rch-rch------- se"search---------------------f/div> -apsoingl-rand rande2-2 /em> ('margin:1px;'1st onwpsots dtip='Twis="m'1st onwpsots dtip-ena It 1"1st onwpsots dtip-b, <#000 1st onwpsots dtip-tyle= <#fff se"search-------------fg happens with ttwis="miteloGoSeeTheN25">an>

    <""> -apsorandelget="nknoted wpsots dtip 1st onwnknot> - insulin at a " se"search-----------------------------------------irst ol nurses know; we’ve seen the end result.

    -a href="http:6ww.geoba.se6ww.st on thge_ite page-item-725">For men with typ7/upltwis="m-2.pngght: 400;">First thge_ite page-item-725">For men with typ7/upltwis="m-2.pngg"font-Twis="msome<> "apsorandets dtip apsorandets dtip- htt h (md-script -js-;" is: sem> <> "apsorandeaki -sem> ">.rande2-2 rst{geoba.:px;x;">Lipx;opasity:1;-moz- hx-eendow:0px 0px 0px 0 ;-webkit- hx-eendow:0px 0px 0px 0 ; hx-eendow:0px 0px 0px 0 ;padall,ipx;}.rande2-2 .apsorandets dtip:bool n{bordtactyle=:#000} October rch-rch------- se"search---------------------f/div> -apsoingl-rand rande2-3 /em> ('margin:1px;'1st onwpsots dtip='P

    <""> -apsorandelget="nknoted wpsots dtip 1st onwnknot> - insulin at a " se"search-----------------------------------------irst ol nurses know; we’ve seen the end result.

    For men with typ7/uplpFirst thge_ite page-item-725">For men with typ7/uplpsome<> "apsorandets dtip apsorandets dtip- htt h (md-script -js-;" is: sem> <> "apsorandeaki -sem> ">.rande2-3 rst{geoba.:px;x;">Lipx;opasity:1;-moz- hx-eendow:0px 0px 0px 0 ;-webkit- hx-eendow:0px 0px 0px 0 ; hx-eendow:0px 0px 0px 0 ;padall,ipx;}.rande2-3 .apsorandets dtip:bool n{bordtactyle=:#000} October rch-rch------- se"search---------------------f/div> -apsoingl-rand rande2-4 /em> ('margin:1px;'1st onwpsots dtip='Ie oagram'1st onwpsots dtip-ena It 1"1st onwpsots dtip-b, <#000 1st onwpsots dtip-tyle= <#fff se"search-------------fg happens with tood re oagram ge-item-725">nur>

    <""> -apsorandelget="nknoted wpsots dtip 1st onwnknot> - insulin at a " se"search-----------------------------------------irst ol nurses know; we’ve seen the end result.

    For men with typ7/uplre oagram pngght: 400;">First thge_ite page-item-725">For men with typ7/uplre oagram pngg"font-Ie oagramsome<> "apsorandets dtip apsorandets dtip- htt h (md-script -js-;" is: sem> <> "apsorandeaki -sem> ">.rande2-4 rst{geoba.:px;x;">Lipx;opasity:1;-moz- hx-eendow:0px 0px 0px 0 ;-webkit- hx-eendow:0px 0px 0px 0 ; hx-eendow:0px 0px 0px 0 ;padall,ipx;}.rande2-4 .apsorandets dtip:bool n{bordtactyle=:#000} October rch-rch------- October rch-rch------- se"search-----actober actobe m acs\\/\>rch----- d dss="searcrch-d dactobe d s="searcs="searcrch-rch-----a foo="mc” to2 foo="mc” t wow fadeInL) i<.st onwow-derip="0.8s (md-script ” t; d dss="searcrch-d d "0.widt 0.widt_ap>some>Lotest P-na, all the f1 se"search-----< lotest-thensewr-type-Ehlers-Danlos Syntrome (EDS)ght: 1; GuideWhat sit “limit” se"search-------------------------------------------------irst ol nurses know; we’ve seen the end result.

    For men with ty20/10/EDS-540x360weigght: 400;">First thge_item page-item-725">For men with ty20/10/EDS-540x360weigg"font-wd to 66 yearse"search---------------------------------------------ss="page_item page-item-725">Ehlers-Danlos Syntrome (EDS)ght: 1; GuideWhat sit “limit” "thened-pa cfss="page_item page-item-725"> "esearc rchvpur a hedefst last="ty20-10-06T15:24:57+00:00 Octo3 ye6, 2y20lelast> "upst defst last="ty20-10-07T14:32:44+00:00 Octo3 ye7, 2y20lelast> "c hi> counn"Fr Fr < Int “lis se"search-------------------------------------------------irst ol nurses know; we’ve seen the end result.

    For men with ty20/09/ref o/spaehtsdtac540x360weigght: 400;">First thge_item page-item-725">For men with ty20/09/ref o/spaehtsdtac540x360weigg"font-wd to 66 yearse"search---------------------------------------------ss="page_item page-item-725">Fr IefFr < Int “lis "thened-pa cfss="page_item page-item-725">Fr "esearc rchvpur a hedefst last="ty20-09-23T19:08:06+00:00 Sept 13 ye23, 2y20lelast> "upst defst last="ty20-09-23T19:08:12+00:00 Sept 13 ye23, 2y20lelast> "c hi> counn"st_t se"search-------------------------------------------------irst ol nurses know; we’ve seen the end result.

    For men with ty20/09/725">-ks a-rides-bicyFirst thge_item page-item-725">For men with ty20/09/725">-ks a-rides-bicyss="page_item page-item-725">it”’s aiRides Fat Caybe asom/w 7;s Canc"m Res>st_t "thened-pa cfss="page_item page-item-725"> "esearc rchvpur a hedefst last="ty20-09-09T19:59:19+00:00 Sept 13 ye9, 2y20lelast> "upst defst last="ty20-09-09T20:31:47+00:00 Sept 13 ye9, 2y20lelast> "c hi> counn" © 2y21-rch- fctobe f akc tf> fss="page_ite paa hreart S hreArt Pur a histlem fctobe f hubfoo="mci> u fctobe fctobe fctobe Ocfoo="mnt f abet-top fss="page#top Oorm action="httarrow-up<some> Top all the ant fctobe fctobe f pfctobe f66 yea li c tlse/java66 yea var t 1ploteUrl = 's wim page-item-725">(fun .querySeltLisrefer('blur', mfiguP"paixUrlField); } } })(); al6 yearf66 yea li c tlse/java66 yea apsseaki end-t=""js-js-lsera">var aki end_ajax_objFor mplugins/t="l yompcfor-wp s\sets/js/forms.js?wh=4.8.6"); al6 year f66 yea thge/s/98694e.js< async def"m