MICHAEL JACKSON ROCKING SONGS - BEAT IT!

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MICHAEL JACKSON IS on fire in London this summer. Lots of excitement shown by the fan. MICHAEL JACKSON'S last concert. Do you know that Michael Jackson is like 50+ right now and he would do all this most famous moves on the stage for the last time. Michael Jackson has inspired every musician in the industry right now. Along with controversies he has broke all records, in the selling of his records and in the Guiness Book Of record for all the good and wrong reasons.

Michael Jackson continues to be in limelight even though his work is quiet old now. Only Michael Jackson first solo album shot him to success, thriller. That's it people. If you get a chance to go to London do see the concert. Oh! where to get Michael Jackson's concert tickets.

BEAT IT



"Beat It" Rap by Vincent Price. Written and composed by Michael Jackson.

They told him don't you ever come around here
Don't wanna see your face, you better disappear
The fire's in their eyes and their words are really clear
So beat it, just beat it

You better run, you better do what you can
Don't wanna see no blood, don't be a macho man
You wanna be tough, better do what you can
So beat it, but you wanna be bad

Just beat it, beat it, beat it, beat it
No one wants to be defeated
Showin' how funky and strong is your fight
It doesn't matter who's wrong or right
Just beat it, beat it
Just beat it, beat it
Just beat it, beat it
Just beat it, beat it

They're out to get you, better leave while you can
Don't wanna be a boy, you wanna be a man
You wanna stay alive, better do what you can
So beat it, just beat it

You have to show them that you're really not scared
You're playin' with your life, this ain't no truth or dare
They'll kick you, then they beat you,
Then they'll tell you it's fair
So beat it, but you wanna be bad

Just beat it, beat it, beat it, beat it
No one wants to be defeated
Showin' how funky and strong is your fight
It doesn't matter who's wrong or right

Just beat it, beat it, beat it, beat it
No one wants to be defeated
Showin' how funky and strong is your fight
It doesn't matter who's wrong or right

Just beat it, beat it, beat it, beat it
No one wants to be defeated
Showin' how funky and strong is your fight
It doesn't matter who's wrong or right
Just beat it, beat it
Beat it, beat it, beat it

Beat it, beat it, beat it, beat it
No one wants to be defeated
Showin' how funky and strong is your fight
It doesn't matter who's wrong or who's right

Just beat it, beat it, beat it, beat it
No one wants to be defeated
Showin' how funky and strong is your fight
It doesn't matter who's wrong or right

Just beat it, beat it, beat it, beat it
No one wants to be defeated
Showin' how funky and strong is your fight
It doesn't matter who's wrong or right
Just beat it, beat it
Beat it, beat it, beat it

Beat it, beat it, beat it, beat it
No one wants to be defeated
Showin' how funky and strong is your fight
It doesn't matter who's wrong or who's right

Beat it, beat it, beat it, beat it
No one wants to be defeated
Showin' how funky and strong is your fight
It doesn't matter who's wrong or who's right

Just beat it, beat it, beat it, beat it
No one wants to be defeated
Showin' how funky and strong is your fight
It doesn't matter who's wrong or right
Just beat it, beat it
Beat it, beat it, beat it

BILLIE JEAN



"Billie Jean" Written and composed by Michael Jackson.

She was more like a beauty queen from a movie scene
I said don't mind, but what do you mean I am the one
Who will dance on the floor in the round

She said I am the one who will dance on the floor in the round
She told me her name was Billie Jean, as she caused a scene
Then every head turned with eyes that dreamed of being the one
Who will dance on the floor in the round

People always told me be careful of what you do
And don't go around breaking young girls' hearts
And mother always told me be careful of who you love
And be careful of what you do 'cause the lie becomes the truth

Billie Jean is not my lover
She's just a girl who claims that I am the one
But the kid is not my son
She says I am the one, but the kid is not my son

For forty days and forty nights
The law was on her side
But who can stand when she's in demand
Her schemes and plans
'Cause we danced on the floor in the round
So take my strong advice, just remember to think twice
(Do think twice)

She told me her name was Billie Jean as she caused a scene
Then every head turned with eyes that dreamed of being the one
Who will dance on the floor in the round

People always told me be careful of what you do
And don't go around breaking young girls' hearts
She came and stood right by me
Then the smell of sweet perfume
This happened much too soon
She called me to her room

Billie Jean is not my lover
She's just a girl who claims that I am the one
But the kid is not my son
Billie Jean is not my lover
She's just a girl who claims that I am the one
But the kid is not my son
She says I am the one, but the kid is not my son
She says I am the one, but the kid is not my son
Billie Jean is not my lover
She's just a girl who claims that I am the one
But the kid is not my son
She says I am the one, but the kid is not my son
She says I am the one, she says he is my son
She says I am the one
Billie Jean is not my lover
Billie Jean is not my lover
Billie Jean is not my lover
Billie Jean is not my lover
Billie Jean is not my lover
Billie Jean is
Billie Jean is
Billie Jean is
Not my lover
Not my lover
Not my lover
Not my lover
Billie Jean is not my lover (she is just a girl)
Billie Jean is not my lover (she is just a girl)
Billie Jean is not my lover (she is just a girl)
Billie Jean is not my lover (she is just a girl)
Billie Jean is
Billie Jean is
Billie Jean is not my lover
Billie Jean is not my lover
Billie Jean is
Billie Jean is
Billie Jean is not my lover
Billie Jean is not my lover
Billie Jean is
Billie Jean is


THRILLER





"Thriller" Rap by Vincent Price. Written and composed by Rod Temperton

It's close to midnight and something evil's lurking in the dark
Under the moonlight you see a sight that almost stops your heart
You try to scream but terror takes the sound before you make it
You start to freeze as horror looks you right between the eyes
You're paralyzed

'Cause this is thriller, thriller night
And no one's gonna save you from the beast about to strike
You know it's thriller, thriller night
You're fighting for life inside a killer, thriller tonight

You hear a door slam and realize there's nowhere left to run
You feel the cold hand and wonder if you'll ever see the sun
You close your eyes and hope that this is just imagination
But all the while you hear the creature creepin' up behind
You're out of time

'Cause this is thriller, thriller night
There ain't no second chance against the thing with forty eyes
You know it's thriller, thriller night
You're fighting to survive inside a killer, thriller tonight

Night creatures call
The dead start to walk in their masquerade
There's no escapin' the jaws of the alien this time (they're open wide)
This is the end of your life

They're out to get you, there's demons closing in on every side
They will possess you unless you change the number on your dial
Now is the time for you and I to cuddle close together
All thru the night I'll save you from the terrors on the screen
I'll make you see

That it's a thriller, thriller night
'Cause I can thrill you more than any ghost who would dare to try
Girl, this is thriller, thriller night
So let me hold you tight and share a killer, diller, chiller
Thriller here tonight

Rap:(by Vincent Price
Darkness falls across the land
The midnight hour is close at hand
Creatures crawl in search of blood
To terrorize y'awl's neighborhood
And whosoever shall be found
Without the soul for getting down
Must stand and face the hounds of hell
And rot inside a corpse's shell
The foulest stench is in the air
The funk of forty thousand years
And grizzly ghouls from every tomb
Are closing in to seal your doom
And though you fight to stay alive
Your body starts to shiver
For no mere mortal can resist
The evil of the thriller
(laughter)

Gone Too Soon



"Gone To Soon" Music by Larry Grossman Lyrics by Buz Kohan ("Buzzie

Wuzzie")

michael jackson, lyrics, dangerous, Like a comet
Blazing 'cross the evening sky
Gone too soon

Like a rainbow
Fading in the twinkling of an eye
Gone too soon

Shiny and sparkly
And splendidly bright
Here one day
Gone one night

Like the loss of sunlight
On a cloudy afternoon
Gone too soon

Like a castle
Built upon a sandy beach
Gone too soon

Like a perfect flower
That is just beyond your reach
Gone too soon

Born to amuse, to inspire, to delight
Here one day
Gone one night

Like a sunset
Dying with the rising of the moon
Gone too soon
Gone too soon

Don't Stop 'Til You Get Enough



"Don't Stop 'Til You Get Enough" Written and composed by Michael

Jackson

Lovely is the feelin' now
Fever, temperatures risin' now
Power (ah power) is the force the vow
That makes it happen
It asks no questions why (ooh)
So get closer (closer now) to my body now
Just love me 'til you don't know how (ooh)

Keep on with the force don't stop
Don't stop 'til you get enough
Keep on with the force don't stop
Don't stop 'til you get enough
Keep on with the force don't stop
Don't stop 'til you get enough
Keep on with the force don't stop
Don't stop 'til you get enough

Touch me and I feel on fire
Ain't nothin' like a love desire (ooh)
I'm melting (I'm melting) like hot candle wax
Sensation (ah sensation) lovely where we're at (ooh)
So let love take us through the hours
I won't be complainin'
'Cause this is love power (ooh)

Keep on with the force don't stop
Don't stop 'til you get enough
Keep on with the force don't stop
Don't stop 'til you get enough
Keep on with the force don't stop
Don't stop 'til you get enough
Keep on with the force don't stop
Don't stop 'til you get enough

Ooh

Heartbreak enemy despise
Eternal (ah eternal) love shines in my eyes (ooh)
So let love (ah let love) take us through the hours
I won't be complanin' (no no)
'Cause your love is alright, alright (ooh)

Keep on with the force don't stop
Don't stop 'til you get enough
Keep on with the force don't stop
Don't stop 'til you get enough
Keep on with the force don't stop
Don't stop 'til you get enough
Keep on with the force don't stop
Don't stop 'til you get enough
Keep on with the force don't stop
Don't stop 'til you get enough
Keep on with the force don't stop
Don't stop 'til you get enough
Keep on with the force don't stop
Don't stop 'til you get enough
Keep on with the force don't stop
Don't stop 'til you get enough

Lovely is the feeling now
I won't be complanin' (ooh ooh)
The force is love power

Keep on with the force don't stop
Don't stop 'til you get enough
(Repeat & Adlib to fade)

[ INCREDIBLE ] [ FACTS ] [ ABOUT ] [ MJ ]

- Have been inducted into the Rock and Roll Hall of Fame twice,
- Multiple Guinness World Records—including one for "Most Successful Entertainer of All Time"—13 Grammy Awards,
- 13 number one singles in his solo career more than any other male artist in the Hot 100 era
- And a GWR for the sale of over 750 million units worldwide.

Source: http://en.wikipedia.org/wiki/Micheal_Jackson

SEE MICHEAL JACKSON VIDEOS WITH LYRICS

THRILLER





"Thriller" Rap by Vincent Price. Written and composed by Rod Temperton

It's close to midnight and something evil's lurking in the dark
Under the moonlight you see a sight that almost stops your heart
You try to scream but terror takes the sound before you make it
You start to freeze as horror looks you right between the eyes
You're paralyzed

'Cause this is thriller, thriller night
And no one's gonna save you from the beast about to strike
You know it's thriller, thriller night
You're fighting for life inside a killer, thriller tonight

You hear a door slam and realize there's nowhere left to run
You feel the cold hand and wonder if you'll ever see the sun
You close your eyes and hope that this is just imagination
But all the while you hear the creature creepin' up behind
You're out of time

'Cause this is thriller, thriller night
There ain't no second chance against the thing with forty eyes
You know it's thriller, thriller night
You're fighting to survive inside a killer, thriller tonight

Night creatures call
The dead start to walk in their masquerade
There's no escapin' the jaws of the alien this time (they're open wide)
This is the end of your life

They're out to get you, there's demons closing in on every side
They will possess you unless you change the number on your dial
Now is the time for you and I to cuddle close together
All thru the night I'll save you from the terrors on the screen
I'll make you see

That it's a thriller, thriller night
'Cause I can thrill you more than any ghost who would dare to try
Girl, this is thriller, thriller night
So let me hold you tight and share a killer, diller, chiller
Thriller here tonight

Rap:(by Vincent Price
Darkness falls across the land
The midnight hour is close at hand
Creatures crawl in search of blood
To terrorize y'awl's neighborhood
And whosoever shall be found
Without the soul for getting down
Must stand and face the hounds of hell
And rot inside a corpse's shell
The foulest stench is in the air
The funk of forty thousand years
And grizzly ghouls from every tomb
Are closing in to seal your doom
And though you fight to stay alive
Your body starts to shiver
For no mere mortal can resist
The evil of the thriller
(laughter)

Gone Too Soon



"Gone To Soon" Music by Larry Grossman Lyrics by Buz Kohan ("Buzzie

Wuzzie")

michael jackson, lyrics, dangerous, Like a comet
Blazing 'cross the evening sky
Gone too soon

Like a rainbow
Fading in the twinkling of an eye
Gone too soon

Shiny and sparkly
And splendidly bright
Here one day
Gone one night

Like the loss of sunlight
On a cloudy afternoon
Gone too soon

Like a castle
Built upon a sandy beach
Gone too soon

Like a perfect flower
That is just beyond your reach
Gone too soon

Born to amuse, to inspire, to delight
Here one day
Gone one night

Like a sunset
Dying with the rising of the moon
Gone too soon
Gone too soon

Don't Stop 'Til You Get Enough



"Don't Stop 'Til You Get Enough" Written and composed by Michael

Jackson

Lovely is the feelin' now
Fever, temperatures risin' now
Power (ah power) is the force the vow
That makes it happen
It asks no questions why (ooh)
So get closer (closer now) to my body now
Just love me 'til you don't know how (ooh)

Keep on with the force don't stop
Don't stop 'til you get enough
Keep on with the force don't stop
Don't stop 'til you get enough
Keep on with the force don't stop
Don't stop 'til you get enough
Keep on with the force don't stop
Don't stop 'til you get enough

Touch me and I feel on fire
Ain't nothin' like a love desire (ooh)
I'm melting (I'm melting) like hot candle wax
Sensation (ah sensation) lovely where we're at (ooh)
So let love take us through the hours
I won't be complainin'
'Cause this is love power (ooh)

Keep on with the force don't stop
Don't stop 'til you get enough
Keep on with the force don't stop
Don't stop 'til you get enough
Keep on with the force don't stop
Don't stop 'til you get enough
Keep on with the force don't stop
Don't stop 'til you get enough

Ooh

Heartbreak enemy despise
Eternal (ah eternal) love shines in my eyes (ooh)
So let love (ah let love) take us through the hours
I won't be complanin' (no no)
'Cause your love is alright, alright (ooh)

Keep on with the force don't stop
Don't stop 'til you get enough
Keep on with the force don't stop
Don't stop 'til you get enough
Keep on with the force don't stop
Don't stop 'til you get enough
Keep on with the force don't stop
Don't stop 'til you get enough
Keep on with the force don't stop
Don't stop 'til you get enough
Keep on with the force don't stop
Don't stop 'til you get enough
Keep on with the force don't stop
Don't stop 'til you get enough
Keep on with the force don't stop
Don't stop 'til you get enough

Lovely is the feeling now
I won't be complanin' (ooh ooh)
The force is love power

Keep on with the force don't stop
Don't stop 'til you get enough
(Repeat & Adlib to fade)




You can become music producer by first of all finding out how to become a music producer get a good music insurance. Search for music producer get a music producer career advice then go to a music producer school, music production should start with music songwriter . Producing music is difficult do remember that.

source: music.yahoo.com

SEE MICHEAL JACKSON VIDEOS WITH LYRICS

You can become music producer by first of all finding out how to become a music producer get a good music insurance. Search for
music producer get a music producer career advice then go to a music producer school, music production should start with
music songwriter
producing music

source: music.yahoo.com

MICHEAL JACKSON VIDEOS WITH SONG LYRICS

If you want to become music producer or if you want to find how to become a first get a music producer to get you a music insurance.

Funny, true in the music industry music producer can get you a only the hint of music producer career and not a music producer school. Music production is as difficult as
music songwriter and producing music in general takes a lot of time.

THRILLER





"Thriller" Rap by Vincent Price. Written and composed by Rod Temperton

It's close to midnight and something evil's lurking in the dark
Under the moonlight you see a sight that almost stops your heart
You try to scream but terror takes the sound before you make it
You start to freeze as horror looks you right between the eyes
You're paralyzed

'Cause this is thriller, thriller night
And no one's gonna save you from the beast about to strike
You know it's thriller, thriller night
You're fighting for life inside a killer, thriller tonight

You hear a door slam and realize there's nowhere left to run
You feel the cold hand and wonder if you'll ever see the sun
You close your eyes and hope that this is just imagination
But all the while you hear the creature creepin' up behind
You're out of time

'Cause this is thriller, thriller night
There ain't no second chance against the thing with forty eyes
You know it's thriller, thriller night
You're fighting to survive inside a killer, thriller tonight

Night creatures call
The dead start to walk in their masquerade
There's no escapin' the jaws of the alien this time (they're open wide)
This is the end of your life

They're out to get you, there's demons closing in on every side
They will possess you unless you change the number on your dial
Now is the time for you and I to cuddle close together
All thru the night I'll save you from the terrors on the screen
I'll make you see

That it's a thriller, thriller night
'Cause I can thrill you more than any ghost who would dare to try
Girl, this is thriller, thriller night
So let me hold you tight and share a killer, diller, chiller
Thriller here tonight

Rap:(by Vincent Price
Darkness falls across the land
The midnight hour is close at hand
Creatures crawl in search of blood
To terrorize y'awl's neighborhood
And whosoever shall be found
Without the soul for getting down
Must stand and face the hounds of hell
And rot inside a corpse's shell
The foulest stench is in the air
The funk of forty thousand years
And grizzly ghouls from every tomb
Are closing in to seal your doom
And though you fight to stay alive
Your body starts to shiver
For no mere mortal can resist
The evil of the thriller
(laughter)

Gone Too Soon



"Gone To Soon" Music by Larry Grossman Lyrics by Buz Kohan ("Buzzie

Wuzzie")

michael jackson, lyrics, dangerous, Like a comet
Blazing 'cross the evening sky
Gone too soon

Like a rainbow
Fading in the twinkling of an eye
Gone too soon

Shiny and sparkly
And splendidly bright
Here one day
Gone one night

Like the loss of sunlight
On a cloudy afternoon
Gone too soon

Like a castle
Built upon a sandy beach
Gone too soon

Like a perfect flower
That is just beyond your reach
Gone too soon

Born to amuse, to inspire, to delight
Here one day
Gone one night

Like a sunset
Dying with the rising of the moon
Gone too soon
Gone too soon

Don't Stop 'Til You Get Enough



"Don't Stop 'Til You Get Enough" Written and composed by Michael

Jackson

Lovely is the feelin' now
Fever, temperatures risin' now
Power (ah power) is the force the vow
That makes it happen
It asks no questions why (ooh)
So get closer (closer now) to my body now
Just love me 'til you don't know how (ooh)

Keep on with the force don't stop
Don't stop 'til you get enough
Keep on with the force don't stop
Don't stop 'til you get enough
Keep on with the force don't stop
Don't stop 'til you get enough
Keep on with the force don't stop
Don't stop 'til you get enough

Touch me and I feel on fire
Ain't nothin' like a love desire (ooh)
I'm melting (I'm melting) like hot candle wax
Sensation (ah sensation) lovely where we're at (ooh)
So let love take us through the hours
I won't be complainin'
'Cause this is love power (ooh)

Keep on with the force don't stop
Don't stop 'til you get enough
Keep on with the force don't stop
Don't stop 'til you get enough
Keep on with the force don't stop
Don't stop 'til you get enough
Keep on with the force don't stop
Don't stop 'til you get enough

Ooh

Heartbreak enemy despise
Eternal (ah eternal) love shines in my eyes (ooh)
So let love (ah let love) take us through the hours
I won't be complanin' (no no)
'Cause your love is alright, alright (ooh)

Keep on with the force don't stop
Don't stop 'til you get enough
Keep on with the force don't stop
Don't stop 'til you get enough
Keep on with the force don't stop
Don't stop 'til you get enough
Keep on with the force don't stop
Don't stop 'til you get enough
Keep on with the force don't stop
Don't stop 'til you get enough
Keep on with the force don't stop
Don't stop 'til you get enough
Keep on with the force don't stop
Don't stop 'til you get enough
Keep on with the force don't stop
Don't stop 'til you get enough

Lovely is the feeling now
I won't be complanin' (ooh ooh)
The force is love power

Keep on with the force don't stop
Don't stop 'til you get enough
(Repeat & Adlib to fade)

PLAIN WHITE T'S - HEY THERE DELILAH

Hey there Delilah
What's it like in New York City?
I'm a thousand miles away
But girl tonight you look so pretty
Yes you do
Times Square can't shine as bright as you
I swear it's true

Hey there Delilah
Don't you worry about the distance
I'm right there if you get lonely
Give this song another listen
Close your eyes
Listen to my voice it's my disguise
I'm by your side

Oh it's what you do to me
Oh it's what you do to me
Oh it's what you do to me
Oh it's what you do to me
What you do to me

Hey there Delilah
I know times are getting hard
But just believe me girl
Someday I'll pay the bills with this guitar
We'll have it good
We'll have the life we knew we would
My word is good

Hey there Delilah
I've got so much left to say
If every simple song I wrote to you
Would take your breath away
I'd write it all
Even more in love with me you'd fall
We'd have it all

Oh it's what you do to me
Oh it's what you do to me
Oh it's what you do to me
Oh it's what you do to me

A thousand miles seems pretty far
But they've got planes and trains and cars
I'd walk to you if I had no other way
Our friends would all make fun of us
and we'll just laugh along because we know
That none of them have felt this way
Delilah I can promise you
That by the time we get through
The world will never ever be the same
And you're to blame

Hey there Delilah
You be good and don't you miss me
Two more years and you'll be done with school
And I'll be making history like I do
You know it's all because of you
We can do whatever we want to
Hey there Delilah here's to you
This ones for you

Oh it's what you do to me
Oh it's what you do to me
Oh it's what you do to me
Oh it's what you do to me
What you do to me.

Oh oh
OOhhhh
Oh oh
OOhhhhh
Oh Oh
OOOhhh
OOhhhhh
Oh Oh

[ OTHER ] [  GREAT ] [ SONGS ] [  BY ] [ PLAIN WHITE T'S  ] [ YOUTUBE ]



Plain White T's - Our Time Now

Plain White T's  - A Lonely September 

Plain White T's - Hate  - I Really Don't Like You

[ DIRECT ] [ DOWNLOAD ] [ FREE ] [ SONGS] 

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In the end if you an artist. You must make an account in vimeo.com - Best video site for artists. Along with another which (I am bad) can't remember. I have a bad memory Ah! just deep pressing ( depressing ).

Ok! --

DIABETES COMPLICATIONS AND CONDITIONS

Questions in order

1. What is "metabolic syndrome" or "syndrome X"?
2. What is "prediabetes"?
3. How is prediabetes treated?
4. What is "hypoglycemia"?
5. What is "diabetic ketoacidosis"?
6. What are the risk factors for diabetic ketoacidosis?
7. What are the symptoms of diabetic ketoacidosis?
8. What happens when a diabetic doesn't get enough hydration?


Diabetes: Complications And Conditions
What is "metabolic syndrome" or "syndrome X"?

Metabolic syndrome, which has also been called syndrome X or the insulin resistance syndrome, is a syndrome in people which gives them a high risk for heart disease and a risk for going on to get diabetes. It's kind of inseparable from type 2 diabetes, in a way, or prediabetes. But basically, it is people who are at risk for type 2 diabetes who gain weight in their center. Gaining weight in your center leads to a higher blood pressure level, to abnormal lipid or cholesterol levels, and to an increase in insulin resistance, which means increases in insulin levels and eventually, potentially, to diabetes. So, if you have the metabolic syndrome, first and foremost, it means you need to be assessed for your risk for cardiovascular disease, for heart attack or stroke. Then you also need to be assessed for your risk for going on to develop diabetes.
What is "prediabetes"?

Prediabetes means an elevation in blood sugar levels above the normal level, but an elevation that's not really considered to be diabetes yet. So the definition is if the blood sugar level fasting, without eating overnight, is between 100 and 125, then that's considered "prediabetes." The point of this is that it's not that one day you wake up with the disease that is prediabetes, it means that you slowly started and gradually have gotten your blood sugar levels higher, higher, and higher. What you want to do is not only be aware of what your fasting blood sugar levels are, but to track the change over time. So, if you start out with a blood sugar level of 95 when you're 38, and when you're 45 it's 105, and 2 years later it's 110, you're really getting worse.
How is prediabetes treated?

The first thing you need to do in that setting is worry about your risk for heart disease because most people in that setting have the metabolic syndrome that is a risk for heart attack, stroke, caused by central fat. But, they're also having an increase in blood sugar levels and the way to reduce increasing blood sugar levels is weight loss and exercise. Seems simple, but it isn't and people need to lose about seven percent of their body weight. So it's somewhere between ten and twenty pounds and then you need to keep it off. You need to exercise and exercise five days a week, thirty minutes at a time. Then if that doesn't work, there are some medications that can be taken to prevent progression to diabetes. So, prediabetes, like everything else, can be managed. It can't entirely go away, because even if you go back to completely normal, as you get older, you get more resistant to insulin so it can actually come back. So it's one of those things that you need to be aware of to follow to work with lifestyle changes and then potentially medication to treat and hopefully prevent ever from getting heart disease or diabetes.
What is "hypoglycemia"?

Hypoglycaemia means a blood sugar level that's fallen below normal, and for most people, that means below a blood sugar of 7. And as your blood sugar falls from 7 to 5 in a case of hypoglycaemia, most people will feel it; they'll feel weak, shaky, hungry. And as your blood sugar level falls much below 5 in a case of hypoglycaemia, you stop being able to think normally: you become fuzzy, you can't do math in your head if you could do it before, and you just get sort of out of it, until you might fall into a hypoglycaemic coma. But hypoglycaemia simply means that the blood sugar is falling and the brain is not getting the glucose it needs to function normally. And your brain must have glucose to function.
What is "diabetic ketoacidosis"?

Diabetic ketoacidosis is a very serious complication that happens only in people with type one diabetes. What diabetic ketoacidosis means is that the body has so little insulin in it that it starts to break down fat. It turns out we need insulin to keep fat in our cells as well as glucose in our cells and when the fat breaks down, it causes a build-up of acid, and that build-up of acid can very quickly cause people to become comatose, they become really hypotensive and their blood pressure falls. It's very serious but also very easy to treat, you just give somebody fluid and insulin, generally by vein, until they get better. You could die from it if you have underlying heart disease, if you're elderly or if somebody doesn't treat you soon enough, because in a day or two in this state, you would be dead. So it's a very serious problem, but very very rare.
What are the risk factors for diabetic ketoacidosis?

It happens in people for a variety of reasons. One, if you don't know you have diabetes, you can develop diabetic ketoacidosis because you don't know to get insulin because nobody told you. The second reason is because you get an infection. So, let's say you get pneumonia and your body becomes very resistant to insulin as bodies tend to and you don't get enough extra insulin to compensate. Then you can go into ketoacidosis. The third reason -- and one of the reasons I see this in my population in East Los Angeles -- is because they run out of insulin: they don't have a refill; they can't find a doctor. If you don't take your insulin, this can happen. So, people with Type I diabetes must take their insulin and they must have access to insulin. Otherwise, they can get ketoacidosis; and, in the worst case scenario, they would die.
What are the symptoms of diabetic ketoacidosis?

Symptoms of diabetic ketoacidosis generally start with a person feeling just generally sick. They often get a very severe headache. They get a lot of abdominal pain. They start vomiting, nauseated. They pee a lot in the beginning, but as they get dehydrated, they stop peeing a lot. And very quickly, they'll get very dehydrated and can become comatose. But the headache and the abdominal pain and the inability to keep down fluid is very classic, and those people need to immediately go to seek medical attention, because they can quickly get worse. Those are the most common symptoms.The others are more subtle. People get a kind of breathing pattern, a Kussmaul respiration, where they have the deep breathe in and out, in order to try to get the acid out of their body. And I have had some patients call me on the phone, and I can tell they're Kussmaul breathing and I know they have ketoacidosis. But it's not exactly a way that you want to diagnose it. You basically want to take anyone with type 1 diabetes who's vomiting and unable to keep fluids down and get them to an emergency room.
What happens when a diabetic doesn't get enough hydration?

Hyperosmolar nonketotic syndrome is a syndrome that happens in adults generally with diabetes where they don't actually have enough access to water. Unlike diabetic ketoacidosis, which happens in people with type 1 diabetes where they're very suddenly sick, adults that get hyperosmolar nonketotic syndrome get gradually sick; say over a week, and I often see it in people, say for example they're in a nursing home and can't get to enough water. They're sort of out of it, and their blood sugars instead of being the normal 100 go to 200 and then 400 and then 600 and then to 1000. These are very, very, very sick people, and often they've had a heart attack or they have an infection and it often kills them. On the other hand, they're very simple to treat in a way; they really just need gentle hydration, and a little bit of insulin and they'll come back down to normal. I have seen younger people with this; just the other day I saw a 45 year-old with hyperosmolar nonketotic syndrome who was admitted to a hospital. He hadn't really taken care of or noticed his symptoms over a week and got very sick, came to my clinic after being discharged from the hospital and is now doing fine. So, hyperosmolar nonketotic syndrome is really a state of the body just becoming extremely dehydrated due to high blood sugar levels, but because it happens in elderly people who are also sick for other reasons it can be very serious.


1.

Diabetes: What is "metabolic syndrome" or "syndrome X"?

2.


Diabetes: What is "prediabetes"?

3.

Diabetes: How is prediabetes treated?

4.

Diabetes: What is "hypoglycemia"?

5.

Diabetes: What is "diabetic ketoacidosis"?

6.

Diabetes: What are the risk factors for diabetic ketoacidosis?

7.

Diabetes: What are the symptoms of diabetic ketoacidosis?

8.


Diabetes: What happens when a diabetic doesn't get enough hydration?

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GESTATIONAL DIABETES

Questions Discussed
1. What is "gestational diabetes"?
2. What are the risk factors for developing gestational diabetes?
3. How is gestational diabetes treated?
4. Can gestational diabetes be prevented?
5. Does gestational diabetes always go away after the pregnancy?
6. If I have gestational diabetes, will my baby be affected?


Gestational Diabetes
What is "gestational diabetes"?

Gestational diabetes is diabetes that happens during pregnancy. Gestational diabetes generally happens during the last third of pregnancy. The reason why it happens is that the placenta that grows around the baby makes hormones that make the mum insulin-resistant. If you think about it, it's a good thing, because what the mum's trying to do is give sugar to the baby because the baby needs to grow and develop. So, what the placenta does is to make sure mum makes plenty of sugar. In someone who's not at risk for gestational diabetes, someone who doesn't get it, their own pancreas makes enough insulin to keep the blood sugar levels normal. However, you could be somebody who's prone to get gestational diabetes, and the risk factors are very similar to those of somebody with type 2 diabetes (if you have a family history, if you're overweight); all of those risk factors make a woman less likely to be able to make enough insulin during her pregnancy. When that happens the blood sugar levels go up because of the insulin resistance caused by the placenta. A woman with gestational diabetes is treated just like anybody with diabetes; through diet and exercise. However, there's not a lot of diet and exercise you can often do in a pregnancy, so what happens is they end up going on insulin briefly until the end of their pregnancy to make sure their sugar levels are normal.
What are the risk factors for developing gestational diabetes?

Not everybody is at the same risk for getting gestational diabetes. If you're in a high risk group, you're much more likely to get it, and if you're a high risk group member, then after the baby is delivered you're at risk for getting diabetes subsequently. Just like everything in diabetes, it's lifestyle. So, if you had gestational diabetes, you had the baby and you're able to lose the baby weight, maybe a few extra pounds if you need to, and exercise, you'll markedly reduce your risk not only of getting diabetes in the future but of getting diabetes with a subsequent pregnancy. Gestational diabetes is really type 2 diabetes brought on in higher-risk people by a pregnancy that causes insulin resistance. Almost everybody that gets gestational diabetes has some risk, but sometimes it happens in women that don't seem to have any risk factors. That's one of the reasons we screen almost everybody with a glucose test during pregnancy, because we don't want to risk missing it. So, even though we think it's more likely, we know it's more likely in women with risk factors, some women without risk factors can also get gestational diabetes.
How is gestational diabetes treated?

Gestational diabetes is treated just like ordinary Type 2 diabetes, in the sense that the first thing we do is lifestyle change. We have people see a nutritionist, we have them work with the dietician on what they can do to eat differently, perhaps reduce the carbohydrates, change the composition of their diet, and increase their physical activity. But if that doesn't work, then we go on to using insulin, which is generally a short period of time, just during the last part of the pregnancy, and then once the woman delivers the baby they no longer need to be on insulin.
Can gestational diabetes be prevented?

In some cases gestational diabetes can be prevented in women who are overweight and sedentary. Those women need to be encouraged to lose weight and to increase their activity prior to conception and then to avoid excessive weight gain throughout the pregnancy. There are some women, though, who just seem to get gestational diabetes, and we really can't prevent it which is why we need to screen women for gestational diabetes at 25 weeks into their pregnancy.
Does gestational diabetes always go away after the pregnancy?

Gestational diabetes usually goes away after the pregnancy, but can come back subsequently over the next months to years, particularly if a woman isn't able to keep their weight in a normal range or exercise. The one caveat to that, though, is that there are women who seem like they have gestational diabetes who are actually getting adult onset Type 1 diabetes. They have antibodies to their beta cells. So there is an occasional woman whose gestational diabetes -- which actually has been sort of misdiagnosed, because it's not gestational diabetes at all -- it's really diabetes that's developing and just happened to be picked up during pregnancy. And those women end up either on insulin or oral medications, depending on the kind of diabetes they have. So I see women whose diabetes doesn't go away after pregnancy, but those are the exceptions, not the rule.
If I have gestational diabetes, will my baby be affected?

Babies born to mothers who have gestational diabetes tend to be too big, and if you control the blood sugar levels that doesn't generally happen. But the problem with babies that are too big is that they tend to get stuck when they come out, so they end up having problems with their shoulders, rates of ceasarean sections are higher, and so there's some issues related to the size of the baby. So we want to control the blood sugar levels to keep the baby a normal size so that birth is easier. After delivery, babies of mom's who have had gestational diabetes can have low blood sugar levels and high bilirubin levels, but all of that tends to be monitored in the hospital for a day or two and then the babies are fine. I think another important point though is that babies who are big at birth and babies who are too little at birth are at increased risk themselves for getting diabetes in the future. So we think that there might be hyperstimulation of the pancreas during pregnancy, we're not quite sure. But I think it's a good idea to treat the gestational diabetes and then if that 's done the baby's going to be just fine and there should be no long term problems with the baby.


1.

Diabetes: What is "gestational diabetes"?

2.

Diabetes: What are the risk factors for developing gestational diabetes?

3.

Diabetes: How is gestational diabetes treated?

4.

Diabetes: Can gestational diabetes be prevented?

5.

Diabetes: Does gestational diabetes always go away after the pregnancy?

6.

Diabetes: If I have gestational diabetes, will my baby be affected?