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Friday, November 23, 2012

Holiday Foods and Diabetes

Thanksgiving piesFor a person with diabetes, October 31st all the way thru January 1st can be a tad challenging. Several holidays that revolve largely around food are all packed into just a span of about 63 days! Halloween. Hanukkah. Kwanzaa. Christmas. New Year’s day.

Whether you’re young or old, your friends, family, and coworkers are throwing parties and events for several of these holidays. Candy. Cakes. Sufganiyot (jelly-filled doughnuts).?Cookies. Alcohol. Eggnog. Chocolates. Mashed potatoes. Latkes. Pies. Muffins. Breads. Challah bread. Challah bread pudding. Challah bread french toast! The list goes on and on!

In an ideal world, when we’re diagnosed with any type of diabetes our sweet-tooth and desire for anything remotely carbohydrate would disappear…but in reality, you can make a bit of room in your life to enjoy the holidays. Be sure to talk to your doctor about adjusting your medications as necessary if you plan to consume more carbohydrates during the holidays.

How do you balance your blood sugars when you’re surrounded by carbohydrates?

Sacrifice your carbohydrates earlier in the day! If you know you’re going to a holiday party in the evening, try to choose very low-carbohydrate options earlier in the day. If you’d rather save your carbohydrates for chocolate cake, then skip the bread, pasta or rice you might usually eat at dinner or lunch.Increase your exercise! Just because we’re eating?more doesn’t mean we have to exercise less!?Can you add 20 minutes to your current exercise routine? Or an extra day to however many days you currently exercise? It all adds up and can help balance out the extra calories. On that note, going for a walk after a big Thanksgiving meal can make a big difference on your post-Thanksgiving blood sugar! Get the whole family up and moving!Check your blood sugar more often!?Who said you could only check your blood sugars before a meal? When you’re with your family on Thanksgiving day, eating more carbohydrates than usual, check your blood sugar 1 hour after your meal to see if your blood sugar is on its way up. If you use insulin, you’ll know that you may need a bit more insulin to help prevent it from continuing to rise. If you don’t use insulin, then you might consider going for a walk and to help bring your number back down.?Small portions and little bites! If you’d really like to try several different types of desserts or carbohydrate options at a dinner event, try smaller servings. Cut the cake into a much smaller slice so you can also try half a piece of fudge. Just because they’re being served in giant sizes doesn’t mean we have to eat the whole darn thing.Just say, “No, thanks!”?Just because it’s being served to everyone else does?not?mean you have to eat it, too. Don’t be afraid to say, “No, thanks,” and turn down the holiday cookies someone brought into work. Or your grandmother’s favorite pie. If you don’t want it, especially for the sake of your diabetes management, then don’t eat it. If you decide to eat one of those cookies at work, then you know you can cut down on the carbohydrates at dinner so your whole day is still balanced. Either way, it’s your choice!

In my own life with diabetes, I strive to keep balance in my day’s worth of nutrition by only eating the carbohydrates that mean the most to me. I could go the rest of my life without bread, pizza, or crackers. But a piece of fudge or ice cream, well, that’s more important to me. When choosing these options, in moderation, I take my insulin carefully, and check my blood sugar often to adjust as needed. And exercise. Exercise is key!

Enjoy the holidays without sacrificing the health of your diabetes!


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Using the Word “CURE” at Diagnosis…Must Stop!

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10 Reasons I’m Thankful My Son Has Diabetes

The day my son was diagnosed with type 1 diabetes.

Ok, truthfully, I would never be thankful that my child developed a chronic, complicated, scary disease that threatens his health and his future and has no cure. But I try to teach my children to look for something positive in every situation. There is always a bright side. If I’ve learned anything in my nearly 4 decades on this earth, it’s that life likes to throw lemons at you and see what you can do with them.

So, I am making lemonade, sugar-free, of course!

I have sharpened my mental math skills.I am painfully aware of the carbohydrate count in all foods now.I don’t really like to sleep anyway.I have learned so much about how the human body works.His diagnosis led me to seek a much needed outlet for dealing with my emotions and I now have a reason to write.I have met some amazing people whom I would not have otherwise ever met.My son and I talk more now than we did before.I like to myth-bust diabetes!I have more awareness and compassion for people dealing with all kinds of conditions.I have a new perspective on life and family and what it means to be there for each other through good times and bad. We have been dealt a crappy hand, yes. But there are much crappier (is that a word?) hands to have. And we are a strong family made up of strong individuals. Each member of my family has gotten to see first-hand what they are really made of. My kids, especially Medium, now know that they are so much stronger than they ever knew they could be. We have made a choice to be a beacon of hope for others facing similar challenges, instead victims in despair. Yes, we have something pretty scary to deal with every day. But we are doing it. And it hasn’t gotten us yet. In fact, as a family, we are thriving in spite of it. My husband and I have good jobs. We have 3 beautiful, smart, talented and otherwise healthy children. We are surrounded by supportive, loving family and friends. Despite his diabetes, Medium does well in school, has lots of friends and plays every sport there is! We have so much for which to be thankful. We are shining on and we won’t let diabetes dim our light!

Happy Thanksgiving to you and your family in your world with diabetes.


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Carbohydrate Confusion!

Oatmeal with fresh berriesEvery person who is diagnosed with type 2 diabetes is encouraged to modify their diet in order to help control their diabetes.??Some of those people are sent to a dietician or certified diabetes educator (CDE) while others are left to find the information on their own.??The best way to control your diabetes is to limit the amount of carbohydrates you consume, and yet we are told over and over again that we should be eating more than seems logical.

When I was first diagnosed over 7 years ago, the American Diabetes Association website recommended that people with diabetes consume approximately 45 grams of carbohydrates at each meal.??Since then they have changed their focus more towards individualizing a meal plan and working with your doctor/dietician to find a target that works for you.??I like that shift but the recommendation for amount of carbs has basically remained the same.??Here is a quote from the ADA website:??“If you haven’t set up an individualized meal plan yet, we suggest including about 45 to 60 grams of carbohydrate per meal to start. If you follow that recommendation, you would be eating a total of 135 to 180 grams of carbohydrates throughout the day. However, some people may need more and some people may need less, so set up a plan that works for you soon!”??I’ve heard similar information from CDEs at a recent conference: eat whole grains; cereals and breads with lots of fiber.

I have a serious concern about how diet is portrayed in the medical/dietary community.??There is too much emphasis put on the idea that we people with type 2 diabetes can eat anything in moderation.??I have also touted that idea but I have always paid attention to what my meter tells me and adjusted accordingly.??My concern is that there are too many people “out there” who don’t pay attention to their meters or don’t bother to adjust and are simply going by what they read online or are told by a CDE.

When I’ve mentioned that I eat very little in the way of grains I’ve been told that whole grains are good for us and we should be eating them.??Really??Even if a modest bowl of unsweetened oatmeal shoots my glucose up over 200???Even if a sandwich made with whole wheat bread spikes my glucose past something reasonable???I should still eat it???I don’t think so.

BROCCOLISo here’s the conundrum: carbohydrates cause our blood glucose to rise and yet we are constantly bombarded with the idea that we should eat more.?Whole grains are our friends! (Despite the fact that they can be evil).??We must eat a “balanced diet”, regardless of whether or not some of the components totally muck up our glucose control.??No freakin wonder people are confused!??What about the idea of getting our carbs from leafy, non-starchy vegetables???Why is it always thrown out there that we should eat grains and potatoes???I don’t get it.??It’s plain to me that we can’t eat just anything, even in moderation.??It’s time to put on our big girl panties and realize that we have to give up certain foods.??Deal with it.

So what do we do? If your meter doesn’t like a certain food, then?stop eating it!??Don’t continue to eat cereal or bread if it spikes your glucose, no matter what your CDE says.??Discuss it with them and try to come up with a plan that isn’t just “increase your meds”.??Wake up and take charge!??Don’t be a sheep!??Your health is too important for you to not take an active role.?You may not have a medical degree or nutrition training, but you certainly are in the front lines in your fight to control your diabetes.??Don’t hesitate to speak up.??Don’t hesitate to experiment.??It’s?your health.


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World Diabetes Day 2012 LIVE UPDATES

10:00 pm – Thank you to everyone who spread awareness about diabetes. Thank you to Cherise Shockley for organizing the 16 hour Twitter chat marathon, to the community of bloggers for bringing attention to critical issues, to the members of Diabetes Daily, Diabetes Hands Foundation, Diabetic Connect and the other diabetes communities for sharing so much support. Each year, this event grows and spawns awareness efforts. It may seem like things are moving forward slowly, but they’re not. We’ve come a long way in the last few years and the pace of improvement is only accelerating. The more people we can bring into the fold, the bigger we can provide support, awareness, and funding for research. But that’s for tomorrow… for now, goodnight!

8:30 pm – Mike Durbin posts his postcard from the World Diabetes Day Postcard Exchange. This unique program connects people with diabetes around the world so that they can exchange post cards on World Diabetes Day. It’s a good way to help build the kind of connections offline that we’re seeing online.

5:28 pm – This World Diabetes day banner by our own Ginger Vieira?has been liked and shared over 2000 times in the last 2 hours!

5:23 pm – The World Diabetes Day photo collection is filling up with amazing shots!

4:23 pm ?- Thank you to everyone who joined our live Twitter chat!

For those who couldn’t make it, we talked about lessons from behavior change research. It shows us that it’s more effective to try and be better at something than it is to be perfect. Being a “perfect diabetic” is impossible and you’ll set yourself up for failure. Likewise, focus on improvement rather than reaching an absolute target. For example, if you want to change your weight and try to ?lose 10 pounds, there’s a good chance that you’ll miss the goal and get discouraged. Instead, it’s better to make your goals around process: schedule workout dates twice a week or eat a good 4pm snack so that you’re less hungry at dinner.

Once you decide on a desired behavior change, you can trigger it by increasing your motivation or decreasing the effort. The dirty secret: increasing motivation is hard and rarely works. Motivation is fixed. Instead, it’s better to focus on decreasing the effort required. The best way to do this is to change your environment. Have trouble running in the morning? Sleep in your running clothes. Don’t test your blood sugar at breakfast? Keep a meter on your kitchen table. Snacking late at night? Remove snacks from the house and replace them with foods that you like with fewer calories and more fiber.

Finally, we talked about how to hold yourself to your goals. Who is that loved one or peer that can hold you accountable? If you want to workout, set a date with a friend to go to the gym. You’re less likely to back out because you don’t want to disappoint. Trying to eat better? Publicly commit to a plan on Facebook and post a daily update (if your friends will tolerate that). Or find a friend whom you promise to report it to daily. Social pressure can be a wonderful tool for reaching goals. It may be one of the only easy ways to give motivation a little bump.

3:47 pm – I love this:

2:28 pm – We are getting ready to host our portion of the 16 hour live chat. The topic is?Research-Backed Strategies for Making Positive Change!??Participate here.

1:56 pm – The Diabetes Hands Foundation is leading a chat on the Big Blue Test in a few minutes!

12:50 pm – Our own Ginger Vieira is leading the live chat in 10 minutes on Emotional Eating with Diabetes.

11:58 am – George Simmons has released episode #1 of his brand new Ninjabetic TV series!

11:03 am – TweetChat is the easiest way to participate in the 16 hour live Twitter chat. Just visit this page and start typing!

11:00 am – check out this remarkable photo of the Northern Lights over the Blue Arctic Cathedral!

10:26 am – I have this strong feeling that simply encouraging openness about diabetes is the long-term secret to better health, kind of like removing the closet was the foundation of the gay rights movement.

10:16 am – it’s remarkable to see just how global the online diabetes community is, especially on Facebook and Twitter.

10:13 am – @sugarfreesweetie on Instagram celebrates the day:

9:52 am – Are you doing the Big Blue Test today? Participants see their blood sugars drop the blood sugar an average of 20% in just 14 minutes of movement. And each test triggers a $5 donation to people with diabetes in need. Help us blow past our goal of 20,o00 participants!

9:49 am – David Cameron, UK Prime Minister, celebrates Downing Street and a cat turning blue for World Diabetes Day. I’m glad to see big names getting behind the cause:

9:45 am – Now until 10 pm ET, join a global live Twitter Chat. You can observe without logging in or participate by including #WDDChat12 in your tweets.

9:30 am – Welcome to World Diabetes Day! This is our Live Blog of happenings around the world. Stay tuned – and feel free to share your WDD reflections, links, and photos in the comments!


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Thankful in Life with Diabetes

…that I was diagnosed with diabetes during a time when they know how to create insulin.
…that today’s test strips can tell me my blood sugar in less than 5 seconds, instead of several hours.
…the word “gluten-free” isn’t such a weird term anymore, like it was 15 years ago when I was diagnosed with celiac disease.
…there are choices I can make, actions I can take to enjoy thanksgiving with diabetes.
…there are thousands of people working towards a cure, every day, with their time, money, and intelligence.
…that the Diabetes Online Community is PACKED with people I can turn to for support any day of the week, any hour of the day. Share your story, get involved, make friends, find support.
…my friends and family are always learning about diabetes to become better and better supporters of my life with this disease.

Read why others in Diabetes Online Community?are thankful in life with diabetes.


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Calling All Partners of Type 1s

Are you the spouse or partner of someone with type 1 diabetes? Do you have a spouse or partner? We need your help!

The Behavioral Diabetes Institute is developing the first ever, Web-based program to address the emotional stresses of partners. The program will be available?for free?to everyone.

To develop this program, we need partners to complete an online, anonymous, 15 – 20 minute questionnaire. We will use these results to help us understand how partners are struggling and how we can help. These findings will then be used to build the final online program.

Complete the Partner Survey

Thank you SO much for taking to the time to fill this out or share with your loved ones. Partners need support, too, and a program like this is long overdue.

Photo Credit:?McBeth


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A Day in the Life of My Diabetes

For most people who meet you, and learn that you live with diabetes, they may see you check your blood sugar before a meal, give yourself insulin, or treat a low blood sugar, and it appears to barely take a minute or two each time. In reality, the entire day’s worth of diabetes management doesn’t physically take an immense amount of actual time, but you may feel like it does require a great deal of your mental energy.

As a person with type 1 diabetes, here is an outline of my average day:

6 a.m. Wake up! Brush my teeth. Check my blood sugar, and head out the door with my two dogs, into the woods for a 15 minute romp!

7 a.m. Breakfast + insulin dose. I follow a fairly low-carb, almost Paleo-like nutrition lifestyle, so my breakfast is usually eggs with spinach OR a few slices of bacon OR all natural pork sausage. I know I really don’t feel good when I eat higher carbohydrate breakfasts like oatmeal, so I stick with protein and fat and some veggies. Because I eat the same low-carb (or zero carb) breakfast every day, I know exactly what amount of insulin to take (just a smudge because of those mornings hormones) and exactly what that meal will do to my blood sugar. On the weekend, sometimes I make gluten-free pancakes or gluten-free french toast. I’ve done a lot of experiments around those higher-carb treats, so I know how to take insulin for them and prevent a high blood sugar later.

8 a.m. To the gym! I tend to stick with anaerobic-like exercise, which uses more body fat for fuel instead of glucose, such as intervals on the spin bike, jump rope, or treadmill, and high-intensity circuit-training with kettlebells and dumbbells.

9:00 a.m. Check my blood sugar post-workout! Again, since my exercise choices and program don’t use glucose for fuel, my blood sugar can change by a mere 10 to 30 points during my workouts, but it rarely ever drops.

1:00 p.m. Check my blood sugar + insulin dose! I usually eat lunch around this time. My lunch consists of things like: apple, string cheese, carrots and hummus OR a bowl of ground turkey on top of spinach and mesclun greens, and a handful of mixed nuts OR sauteed chicken and veggies OR apple and peanut butter (when I really don’t have time to make anything else!). In a nutshell, it’s a very low-carb meal, with protein, and some fat. Oh…and time to walk those dogs again!

4:00 p.m.?Sometimes this one doesn’t happen at all, simply because I don’t feel the need to check, I’m glued to my computer working, or I’m simply not hungry. If it does happen, it looks like this: Check my blood sugar + insulin dose! I tend to check my blood sugar around this time of day, and possibly eat something like carrots, bell pepper, or a salad…sometimes with hummus, sometimes without. If I feel like I want some carbs, I might have a rice cake with peanut butter, or some fruit with cheese or peanut butter.

7:00 p.m. Check my blood sugar + insulin dose! I’m a big fan of low-carb dinners like steak and sauteed veggies, or a big salad with a salmon burgers (no bun), or grilled chicken and broccoli. I fill my belly with protein and veggies and some fat. Most everything I cook at dinner is usually prepared in a saute pan or grilled in the over in tin-foil in a pan. Usual veggies include bell peppers (green ones because they’re the cheapest), broccoli, sugar snap peas, asparagus, mushrooms, and green beans.

9:00 p.m. Check my blood sugar + insulin dose + long-acting insulin dose! Because I follow such a low-carbohydrate plan during the day, some nights I treat myself to ice cream. By choosing the low-carbohydrate options during the day, even with a bowl of great ice cream, I manage to keep my total carbohydrate count under about 70 grams for the day. This helps me maintain a healthy weight, maintain an A1C under 7%, and I never feel deprived! And of course, time for a quick outing with the dogs again.

Bedtime:?The time of day I most often go low is actually around 3 a.m., if I take too much insulin with dinner or dessert. I keep juice and dried mangoes next to my bed (mostly because I’m sick of glucose tabs, and the dried mangoes are cheap to buy in bulk at Costco). I also keep an extra blood glucose meter next to my bed that I never move from that place. If I do go low during the night I know my body will wake me up (it always has, in the past 15 years of diabetes), I can easily check my blood sugar and treat the low without even getting out of bed.

This day, and how I feed and exercise my body works well for me.
What does a day in the life of diabetes look like for you?


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Transform Your Life with Diabetes

TeamWILD (We Inspire Life with Diabetes) has announced their 2013 camp for people living with all types of diabetes. (In fact, even non-diabetics are welcome to attend this camp! There were 3 non-diabetic campers last year.)?Founded by Mari Ruddy, TeamWILD teaches people of all fitness levels how to become an endurance athlete while living well with diabetes: How to train. How to fuel your body properly with carbohydrates, fat and protein. How to manage your blood sugars, medications and insulin doses around your training.

Ever wonder why your blood sugar plummets during parts of your training and spikes at other times? TeamWILD can teach you the physiology you need to know in order to reach your athletic goals. Whether it’s a 5K or a full Ironman.

If you love to bike, swim, or run (or all three), TeamWILD has a program for you. Beginners to seasoned triathletes are all invited to TeamWILD. TeamWILD’s group of coaches and educators is powerfully dedicated to helping you ensure that diabetes doesn’t get in the way of your athletic pursuits. Learn more at TeamWILDathletics.com.


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Super-Human Strength in Diabetes

Ever since completing my first marathon last month I feel like I miraculously have super-human strength! Tasks that used to test me mentally or physically are no longer as challenging, and I truly believe that I can accomplish anything that I set my mind to do.

Each morning I remind myself of the energy that was required to get to mile 26 of the marathon and all of a sudden my 8 to 5 day job seems to be a breeze, workouts are not nearly as challenging, and I look forward to waking up in the middle of the night to soothe our crying baby! Okay, that last one was a joke, but you get my point!

Just as I was beginning to envision myself as the newest character on the comic show X-Men with my super-human strength, I received a call from good friend and quickly realized that super-human strength is not something that is acquired by overcoming temporary feelings of pain such as felt in completing a marathon. Rather, super-human strength is acquired by continually overcoming pain while lifting everyone around you with your positive attitude.

I may not have super-human strength but I know someone who does:

Kayla Eriksen, 11 years old

Type 1 diabetes: Kayla was enrolled in the Trial Net Pathway to Prediction study, which is designed to screen for autoantibodies that are predictive of Type 1 diabetes. Two years after receiving her positive results she was diagnosed with Type 1 diabetes.Celiac Disease (CD): Not long after getting diagnosed with diabetes, Kayla was diagnosed with CD which “is a lifelong inherited autoimmune condition affecting children and adults. When people with CD eat foods that contain gluten, it creates an immune-mediated toxic reaction that causes damage to the small intestine and does not allow food to be properly absorbed. Even small amounts of gluten in foods can affect those with CD and cause health problems. Damage can occur to the small bowel even when there are no symptoms present.Junior Rheumatoid Arthritis (JRA): Kayla has also been diagnosed with JRA, which is the most common form of arthritis in children younger than the age of 16. As an autoimmune disease, your child’s body attacks its own joints, and this can result in very crippling symptoms.Gastrostomy tube ( G-tube): Due to the numerous challenges Kayla faces, doctors have decided to utilize a G-tube which is a tube inserted through the abdomen that delivers nutrition directly to the stomach. It’s one of the ways doctors can make sure kids with trouble eating get the fluid and calories they need to grow.

It is not simply the number of challenges that Kayla faces on a daily basis that is most impressive, but her positive attitude and absolute joy for life while working through her numerous challenges that makes me realize that she is the strongest person who I know. In fact, her mother informed me that not a day goes by where Kayla does not either feel pain from her JRA or sick from a high blood sugar. The truly amazing thing about Kayla is you would never expect that she is experiencing an ounce of pain in her body by the huge smile and contagious laugh that are always on display.

Kayla approaches each day with love, laughter, and happiness and she is not looking for sympathy from anyone. All Kayla is hoping that you do is smile as you finish reading her story and show it to as many people as you can! If my good friend Kayla can put a smile on her face every day, so can I, so can we!

I know someone who has super-human strength, do you?


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Wednesday, November 14, 2012

《皇室小姐們駕到才!》


《皇室小姐們駕到才!》

主角介紹
蝦米?回國?
回國
中國,我來了!
高一(S.A)班
座位風波!
夏可夢的挑釁
她們的資料
皇室公主pk老師
一巴掌
黑幫糾葛
Lose Demon酒吧
愛的真諦
炫的告白
英雄救美
公主選拔
發現身份(一)
發現身份(二)
什麽!殘羽!
遊樂場!!!
風信子花海
美好的愛情
設計的服裝
公主選拔*一
公主選拔*二
紫瑩暈倒(1)
紫瑩暈倒(2)
情緒失控(一)
情緒失控(二)
出院
公主選拔*三
公主選拔*四
哼!又搞暗的!
公主選拔*五
選樂器
公主選拔*六
公主選拔*七
公主選拔*八
起床啦!
公主選拔*九
公主選拔*十
可愛的主持人!
介紹選手(1)
介紹選手(2)
介紹選手2
公主選拔*十一
旅遊將進行
Sweet journey(一)
Sweet journey(二)
Sweet journey(三)
Sweet journey(四)
Sweet journey(五)
Sweet journey(六)
Sweet journey(七)
Sweet journey(八)
Sweet journey(九)
Sweet journey(十)
Sweet journey(十一)
Sweet journey(十二)
Sweet journey(十三)
Sweet journey(十四)
Sweet journey(十五)
Sweet journey(十六)
Sweet journey(十七)
Sweet journey(十八)
Sweet journey(十九)
Sweet journey(二十)
Sweet journey(二十一)
Sweet journey(二十二)
Sweet journey(二十三)
Sweet journey(二十四)
Sweet journey(二十五)
Sweet journey(二十六)
選擇1
選擇2
Heartache(1)
Heartache(2)
Heartache(3)
Heartache(4)
Heartache(5)
甜蜜的氣氛
刀上有毒
法國的爺爺!
紙條!
紫瑩蘇醒(1)
紫瑩蘇醒(2)
紫瑩蘇醒(3)
尷尬的氣氛
逃出醫院
Pleasantly surprised
做蛋糕
什麽?同居!
身世之謎
怪怪的紫瑩
‘殘羽’宮主1
‘殘羽’宮主2
呵!背叛
舞會
復仇
訂婚現場
我們都知道了
去法國
逛街
紫瑩他們回來了
日子又回到以前了。。。

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