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Diabetes Is My Life
  • About Tanja
    • My diabetes story
    • Contact
  • Diabetes
    • Diabetes Facts
  • Diabetes treatment
    • CGMs, Meters & Pumps
    • Insulin
    • Diabetes management
    • Diabetes tips
  • Diabetes stories from other people
  • Diabetes cookbook
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diabetes

Accept the challenge & celebrate World Diabetes Day with us
Diabetes Facts

Accept The Challenge And Join Us In Celebrating World Diabetes Day

by tanja November 10, 2020

Our favorite month has finally come. Do you know why November is special for people with diabetes? Because November is Diabetes Awareness Month! Each year, 14th of November marks the celebration of World Diabetes Day. This day is celebrated globally to raise awareness about diabetes. The World Health Organisation (WHO) and the International Diabetes Federation (IDF) introduced this day in 1991.

The aim of this day is spreading the message about diabetes and raising awareness for the condition. Comprising hundreds of campaigns, screenings, activities, lectures, meetings and more are some of the ways how people around the world celebrate this day.

November 14th is a significant date because it marks the birthday of the man who co-discovered insulin, Frederick Banting. Banting discovered insulin in 1922, alongside Charles Best.

Join us in celebrating this incredible community all month long — and especially on World Diabetes Day. You can get involved in different ways: you can inspire others, educate peers. Or you can simply wear something blue.

Accept the challenge – Climb 5000 m for 5000 people with diabetes

On the occasion of November 14th – World Diabetes Day, Bojan Kirov-Jimi, a person with type 1 diabetes, will try to climb the top of Mount Vodno (1060) 5 times, which will dedicate 1 meter to each child and an adult with type 1 diabetes – 5000 in Macedonia.

Accept the challenge - Climb 5000 m for 5000 people with diabetes in Macedonia

For each attempt, 3 people will accompany Bojan Kirov, at a safe distance of 2 meters. Also, at the top, there will be a medical team that will take care of the health and safety of Bojan and the other people who will join him.

Due to the current situation with COVID-19, please express your support through social networks by sharing information about diabetes. Or you can simply climb the top of Vodno or another peak near you. Please adhere to the prescribed measures and recommendations for protection and prevention of COVID-19!

Find more information about this challenge on this link.

November 10, 2020 0 comment
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Diabetes stories from other people

Барање од Сојуз на здруженија на пациенти со дијабетес на Македонија (СЗДМ)

by tanja August 19, 2020

Почитувани,

Како наши партнери во грижата на пациентите со дијабетес Ви се обраќаме со молба да ги разгледате нашите барања / предлози кои се во насока за подобрување на медицинската грижа на нашите пациенти, односно на пациентите со дијабетес мелитус, сeкако имајќи ја во предвид новата реалност предизвикана со вирусот COVID 19 и тоа:

–         Усвојување  на  национален  план за превенција од дијабетес 2020 – 2030.

–         Изработка на национален регистер за лица со дијабетес 

Водејќи се од потребата за добра евиденција и увид во моменталната ситуација, потребно е државата да го креира овој национален регистар со точна бројка на лицата со дијабетес, по тип на дијабетес, возраст, пол, место на живеење и сл. Транспарентно достапниот регистер ќе биде сериозен темел за да се изработи националната стратегија за справување со дијабетесот. Изработката на оваа национална стратегија сметаме дека треба да биде доделена на стручната јавност и во креирањето на истата да бидеме вклучени и ние како национален сојуз.

–         Организирање на едукативни кампови за децаи адолесценти со  дијабетес

Едукацијата за дијабетес да се стави на врвот на приоритетно дејствување на сите чинители за превенција и справување со дијабетесот, предводени од националната комисија за дијабетес и министерството за здравство. Со организацијата на овие едукативни кампови кај овие две групи на пациенти, кои се посебно осетлива категорија на пациенти, сметаме дека на истите ќе им помогнеме за полесно да ја прифатат својата здравствена состојба и со тоа да им помогнеме да постигнат добра контрола на дијабетесот, како и да научат како да постигнат сигурна лична заштита од COVID 19.

–         Набавка на најсовремени достапни терапии

Водејќи се од идејата нашите пациенти да добиваат современа терапија за третман на нивниот дијабетес, очекуваме дека како Министерство за здравство ќе успеете истата да ни ја обезбедите. Во овој дел нашите очекувања се однесуваат за набавка на современата инсулиска терапија, GLP-1 агонисти како и друга таблетарна терапија. Во реализацијата на престојниот тендер нашите очекувања се дека, согласно законот за лекови, сите законски барања во делот на квалитет ќе бидат запазени. 

–          Набавка на сензори за континуирано мониторирање на гликемиите, глукометри, ленти, ланцети и инсулински игли

Сензорите за континуирно мониторирање на гликемиите се медицинско помагало со кое во огромна мерка од една страна се унапредува гликемиската контрола, а од друга страна се подобрува квалитетот на живот на децата со дијабетес тип 1 и нивните фамилии. Очекуваме набавка на количини кои ќе бидат доволни за сите деца со дијабетес тип 1 на возраст до 18 години. За нивната набавка сметаме дека треба да се обезбеди буџет кој ќе биде независен и одвоен од буџетот за набавака на инсулин и друга антидијабетична терапија.

Набавката на глукометри за мерење на гликемија, ленти, ланцети и игли за пациентите со дијабетес тип 1 и тип 2 согласно највисоките светски стандарди за глукометри и протоколи за контроли на гликемијата, задржувајќи го принципот на предност за квалитет наместо најниска цена. Предлагаме да се реализира по принципот на референтна цена, односно истите да се вклучат на позитивната листа или да се издаваат по принципот на издавање на ортопедските помагала. Сметаме дека треба да се дефинира најниска референтна цена која ќе биде покриена од страна на ФЗО а разликата од таа цена до цената на друго избрано помагало да биде надоместена од страна на самите пациенти. Исто така, очекуваме дека ќе продолжи како и досега, набавката на игли за аплицирање на инсулин од 4мм и 6мм. На ваков начин од една страна државата ќе продолжи да обезбедува загарантирани глукометри, ленти, ланцети и инсулински игли, како и до сега, а од друга страна самите пациенти ќе имаат право на избор ако сметаат дека истиот е неопходен.

–       Унапредување на грижата за пациентите со дијабетес COVID 19      

 Сметаме дека Министерството за здравство, со значително повисоко ниво ќе ги унапреди квалитетот на услуги за прегледи кај специјалисти: дијабетолози, ендокринолози, офтамотолози, кардиологија, неврологија и нефролози, за навремено откривање на можни комбордитети. Предлагаме измена за системско решение за континуирана достапност на стручна психолошка поддршка на нашите пациенти. Сите интернисти кои имаат право да пропишуваат инсулинска терапија сметаме дека треба да имаат право да ја пропишуваат и новата современена терапија, за разлика од сегашното решение согласно кое само одреден број на интернисти (центри за дијабетес во рамки на општи и клинички болници), имаа привилегија да лечат со современа терапија. Сметаме дека неопходно е рестартирање на центри за дијабетес, во здравствените установи каде постоеле, во некои од регионите и како регионални центри за дијабетес.

Особено важно, за здравјето па и животот на лицата со дијабетес, е итно да се вратат сите специјалистички и субспецијалистички прегледи за лицата со дијабетес покрај шестмесечните, да се овозможат интеревенциите на лицат со дијабетес кои имаат комбордитети како шти се неврологија, офтамотолигија – особено за спас на видот.

На крај дозволете да Ви се заблагодариме за нашата досегашна успешна соработка и да изразиме надеж дека овие наши конструктивни барања / сугестии ќе бидат разгледани и усвоени од Ваша страна, согласно можностите.

Само со обострано меѓусебно почитувања и препознавање на моменталните потреби ќе бидеме во можност да ја унапредуваме оваа соработка, со цел да создадеме услови за подобра грижа на нашите пациенти, подобри гликемии, помалку компликаци и многу позадоволни пациенти, а со тоа и позадоволни семејства.

Со почит,

                                                                                    Сојуз на здруженија на дијабетичари на Македонија

Претседател,

Димче Велев

August 19, 2020 0 comment
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DiabetesDiabetes Facts

How Does Alcohol Affect Diabetes?

by tanja July 15, 2020

When it comes to drinking alcohol and having type 1 diabetes, people should be particularly cautious. It can make some of the complications of diabetes worse. First of all, drinking may cause your blood sugar to either rise or fall. That’s why it requires a lot of monitoring. Second, it has a lot of calories. If you drink, my suggestion is to do it only when your diabetes and blood sugar level are well-controlled. It can also interact with some medications that are prescribed to people with diabetes.

Diabetes and alcohol

Even if you only rarely drink alcohol, it is very important to talk with your doctor endocrinologist about it so that he or she explains more about the link between them and suggest you what kind of drinks you can drink and how much.

Effects of alcohol on diabetes

The alcohol can affect diabetes. Here is how:

  • It can cause hypoglycemia
  • Excess alcohol can actually decrease your blood sugar level
  • Beer and sweet wine contain carbohydrates which can raise blood sugar
  • It also stimulates your appetite, which can cause you to overeat and may affect your blood sugar control.

Dos and Dont’s

When it comes to diabetes and alcohol consumption, people should follow these consumption guidelines:

  • Drink slowly.
  • Do not drink more than two drinks of alcohol in a one-day period.
  • Drink alcohol only with food.
  • Avoid “sugary” mixed drinks or sweet wines.
  • Mix liquor with water, club soda, or diet soft drinks.
  • Always wear a medical alert piece of jewellery or any kind of sign that says you have diabetes.
  • Never drink alcohol on an empty stomach.
  • Always check your blood sugar before having an alcoholic beverage.

To conclude, Any person with diabetes that chooses to drink is advised to monitor their drinking very closely. Excessive drinking can become dangerous quickly for diabetics. In severe cases, heavy drinking can result in coma or death.

July 15, 2020 0 comment
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Does Diabetes Cause Headaches?
Diabetes management

Does Diabetes Cause Headaches?

by tanja June 15, 2020

Diabetes does not often cause headaches. The headaches are not usually dangerous in themselves. However, they may indicate problems with blood sugar control in a person with diabetes.

Diabetes-related headaches

Depending on whether your blood sugar is too low or too high, diabetes-related headaches can cause other symptoms too:

  • Low blood sugar headache can leave you feeling shaky, faint, nauseous, or sweaty.
  • High blood sugar headache may be accompanied by feeling super thirsty or having to pee more than usual, fatigue, or blurred vision

Both hypo- and hyperglycemia can trigger headache and migraines. They can be super painful, with a throbbing or pulsing sensation on in your head. You might also feel weak, sensitive to light or sound and nauseous.

This is what I do to I keep it from coming back:

Manage my blood sugar level

I check my levels frequently, up to several times a day. I aim to keep my blood sugar between 4.4 mmol/L and 7.2 mmol/L before meals and below 110.0 mmol/L, 2 hours after meals.

Eat right

Food plays a major role in hyper- or hypoglycemia. Fill your plate with foods that can help control your blood sugar, like meat, vegetables, fruits, grains, protein, dairy—nonfat or low fat.

Drink enough water

Dehydration is a top cause of headache in general, so making sure that you’re drinking enough.

Conclusion

To conclude, the first step to preventing more severe health problems will be to recognize that the headache is a result of poor blood sugar control. That’s why it’s important to manage your diabetes well and keep your blood sugar levels under control. By doing all of this, you are less likely to experience headaches. But keep in mind the following. If headaches are severe but your blood sugar levels are under control, you should go to ask your doctor for further advice.


June 15, 2020 0 comment
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This Is The Reason Why I Chose To Stay At Home
My diabetes story

This Is The Reason Why I Chose To Stay At Home

by tanja April 23, 2020

Hello. My name is Tanja, I am 27 years old. I have been living with type 1 diabetes for 21 years. Diabetes is a chronic disease that occurs when the pancreas does not produce insulin. Insulin is a hormone that regulates blood sugar level. Hyperglycemia, or increased blood sugar levels, is a common complication of uncontrolled diabetes. Unfortunately, if left untreated for a long period of time, causes serious damage to the organs, especially on the nervous system and blood vessels, and in the worst case, causes death. With other words, as long as I regularly control my blood sugar, I will live a normal and happy life like the other people.

This is why I choose to stay at home

Why did I choose to stay at home?

The COVID-19 outbreak has been declared an international public health emergency. People with diabetes, especially people above 65 and those that don’t manage their diabetes well and experience fluctuating blood sugar levels, may be more vulnerable to the severe effects of the virus. In those situations, our body is not able to fight off an infection. That’s why I would like to ask you to think twice before going out these days. Please stay home and spend more time with your loved ones, read books, watch series, listen to music, learn something new, do something you’ve always wanted to do… Protect yourself and other people around you, especially your family and friends. Demonstrate social responsibility and empathy for others. Stay home to stop COVID-19 spreading

Yes, I have been facing many difficult situations. But, I have learned that there is only ONE LIFE. Yes, just ONE! And I really want to LIVE IT! 

April 23, 2020 0 comment
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This Is How I Manage My Diabetes During Quarantine
Diabetes tipsDiabetes treatment

This Is How I Manage My Diabetes During Quarantine

by tanja April 19, 2020

Due to the spread of coronavirus, the quarantine has become a necessary part of our daily routines. Many people are looking for ways to pass the time while practising self-isolation. That’s why today I want to share what I’ve been thinking about in the times of coronavirus as a young adult with type 1 diabetes.

First of all, I am not a person who can stay at home for an extended period. But, in this hard period, I try to keep it together and get through this quarantine the best I can.

I’ve been working from home since 11-th of March 2020. During this period, my blood sugar levels are between 6 mmol/L and 10 mmol/L. It’s higher than I usually like. So, I’ve made some minor changes to my routine over the last few weeks to try to stabilize my blood sugar as much as possible.

Here’s what I am doing:

I check my blood sugar levels 5-6 times per day.

I usually check it before and after my main meals and before and after the exercise.

I move around every hour

The consistent movement has not only helped manage my blood sugar level, but it’s also made my whole body feel better. Also, I do a big stretch and elongate all my muscles as much as I can.

 Every day, I exercise for 30 minutes 

Exercise is essential, but I think we often forget that moving throughout the day is vital for general well-being. That’s why every day, I do pilates exercise for 30 minutes. Pilates is a form of exercise that aims to develop flexibility, good posture, strength, and balance all at the same time.

Earth healthy food

My everyday meals contain healthy food from all food groups: vegetables, fruits, grains, protein, dairy—nonfat or low fat. Also, I can eat sweets too, but I need to eat smaller portions or enjoy them less often.

I hope that you are gentle with yourself if your blood sugars aren’t cooperating in the way they would under normal circumstances. I encourage you to try implementing one new habit that you think would be good for your physical and mental well-being. Last but not least, stay home, stay safe and up to date on the latest recommendations from the experts about COVID-19 and take care of yourself and your blood sugar level.

April 19, 2020 0 comment
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If people with diabetes have COVID-19, they have to check their blood sugar level regularly.
Diabetes tipsDiabetes treatment

What Should People With Diabetes Do If They Have COVID-19?

by tanja March 29, 2020

As far as we know, COVID-19 can cause more severe symptoms and complications in older people, those with long term conditions such as chronic lung disease, cancer and people with diabetes. Unfortunately, if people like me have COVID-9, we may be more vulnerable to the severe effects of the virus.

If you have COVID-19, you should have all your diabetes medications.

That’s why it’s important to plan what to do before we get ill. For instance, we have to have contact information about our health care provider. Also, we have to make sure we have an adequate stock of medications and supplies for monitoring our blood glucose at home. If we are infected with the virus may see their glycaemic control deteriorate during the illness. In those situations, we should contact our doctor immediately for advice on how to monitor our blood sugar level. Also, our doctors has to provide us with adequate refills for medications (especially insulin). Lastly, he or she has to tell us what adjustments we may need to do in our medication or diet.

If we have COVID-19, we should:
  • Monitor our blood glucose
  • Monitor our temperature
  • If we are on insulin, also monitor our ketone bodies
  • Follow the healthcare team recommendations

International Diabetes Federation has published a guideline on which you can find more information about how to manage your diabetes during an illness. You can download it right here.

How we can avoid the virus?

To avoid the virus, we should take the following simple, sensible measures:

  • Frequently wash hands with soap and water
  • Use an alcohol-based solution, especially before eating and after being in public.
  • Don’t share food, tools, glasses and towels.
  • Avoid close contact with those who are ill.
  • If you get ill with respiratory symptoms, stay at home and notify others and your doctor.
  • When sneezing or coughing, cover the nose and mouth with a tissue or with the crook of the elbow. Throw the tissue in the bin.

If you want to get correct information about the situation with COVID-19 in Macedonia, you can do that on the following link: http://gdi-sk.maps.arcgis.com/apps/opsdashboard/index.html?fbclid=IwAR1_K921oU1bGmHfQX9XZGTWxByxDNvNkCmOxHceCFsL9r3GuTgErMS8Tiw#/2096bd4b051b42948ac3f5747e80c3a5

Home-based exercise for people with diabetes

In response to the COVID-19 pandemic, governments in many countries have restricted the movement of their citizens, confining them to the home environment. Regular physical activity is of great benefit to the general population and even more for people living with diabetes.

March 29, 2020 0 comment
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COVID-19 and Diabetes: Protect yourself!
Diabetes treatment

Why People With Diabetes May Be At Increased Risk Of COVID-19?

by tanja March 15, 2020

As we all know, the news about the coronavirus or also known as COVID-19 continues to dominate around the world. Unfortunately, people with diabetes are more likely to experience severe complications when infected with it. Also, they have much higher rates of serious complications and death than people without diabetes.

COVID-19 and Diabetes: People with diabetes are more likely to experience severe symptoms and complications when infected with a virus

COVID-19 is different from seasonal flu.

Coronavirus or COVID-19 belongs to a family of viruses that cause respiratory illnesses. Moreover, most of them cause illness in animals. One of those is SARS-CoV-2 virus that caused the COVID-19. Unfortunately, we have to be aware that COVID-19 is a more serious illness than seasonal flu.

COVID-19 is a risk for people with diabetes

No matter which type of diabetes people have, the complications that may occur vary from people’s age and how well they have been managing their diabetes. People who already have diabetes-related health problems are more likely to have worse outcomes if they are in contact with people who have coronavirus. While older people and those with respiratory conditions, diabetes or heart disease appear to be more vulnerable to becoming seriously ill with the virus. It’s important to be informed all the time. On that way, you can be proactive in preventing the illness.

People with well-controlled blood glucose levels do not face an increased risk of contracting COVID-19. Unfortunately, people with poorly controlled diabetes would be at an increased risk of contracting the illness. That’s why, it’s mandatory to maintain excellent blood sugar control, limit potential exposure, eat a healthy diet, and get regular exercise if possible.

Take everyday precautions:

  • Avoid close contact with people who are sick or who have travelled to countries that are considered as high and middle risk
  • Wash your hands often
  • After blowing your nose, sneezing and coughing wash your hands for at least 30 seconds,
  • If there are no soap and water available, always carry with you and use a hand sanitizer that contains at least 60% alcohol.
  • Wash your hands after touching surfaces in public places
  • Avoid touching your face, eyes and nose.
  • Clean and disinfect your home
  • Avoid crowds.
  • Avoid all non-essential travel including plane trips.

Get correct information about COVID-19 on the link below:

http://gdi-sk.maps.arcgis.com/apps/opsdashboard/index.html?fbclid=IwAR1_K921oU1bGmHfQX9XZGTWxByxDNvNkCmOxHceCFsL9r3GuTgErMS8Tiw#/2096bd4b051b42948ac3f5747e80c3a5


March 15, 2020 0 comment
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Inject insulin in a public place
Diabetes tipsDiabetes treatment

Should We Inject Insulin In Public?

by tanja February 16, 2020
Yes, we should inject insulin in public.

From my point of view, yes we should inject insulin in public. We should not feel ashamed to do that. However, for someone who doesn’t have diabetes, seeing someone inject is rare. Most of the people with diabetes state that injecting insulin in a public place is usually not a problem and that only occasionally will it prompt a reaction in others.

However, we have to be aware that some people around you may have a phobia of needles so it’s best to be as discreet as you can, especially around people you don’t know well. The key is in making sure we are discreet and ensuring that we minimise any risk of danger to ourselves or others.

Inject insulin when I am outside

I don’t have a problem to inject in public, especially when I am with my family and friends. In some cases, I wish to request to use a private area to administer an injection. For instance, when I go out with friends, I do the injection in the toilet. I do that for health and safety reasons, to completely prevent any risk of anyone else getting accidentally jabbed.

When I am at work

At work, all my colleagues are aware of my condition. During my first days in the company, I was asking them if it will be okay to check my blood sugar level or inject insulin in front of them. Fortunately, they didn’t have a problem with that. Now I can say that every time when I need to check my blood sugar level or inject insulin before my meal, I do that without a problem.

Additionally, no matter where I am, I always pay attention to the following things:

Ensure I have plenty of space and light to inject

Obviously I don’t inject if it could be dangerous to you or others. That’s why I make sure that there is plenty of space to inject so I don’t risk getting knocked. Also, I ensure that I am in a well-lighted area as this will make the injection easier.

I try to dispose of needles appropriately

Any used needles or syringes need to be disposed of appropriately. In public, I find a way to carry my used needles or syringes with me so I can dispose of them in a sharps collection box when I get home. Used needles and syringes count as biological waste and should never be disposed of in general waste bins.

February 16, 2020 0 comment
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There is a connection between diabetes and skin complications.
Diabetes treatment

Diabetes And Skin Complications – Part 2

by tanja January 1, 2020

Diabetes and skin complications are very connected. If we don’t control our diabetes, it can affect every part of our body, including our skin. Some of the skin complications include diabetic dermopathy, necrobiosis lipoidica diabeticorum, diabetic blisters, and eruptive xanthomatosis. 

Diabetes and skin complications are very connected

Diabetic dermopathy

To start with, when people with diabetes don’t control their blood sugar level, it can cause changes in the small blood vessels. Dermopathy often looks like light brown, scaly patches. These patches may be oval or circular. Also, this disorder most often occurs on the front of both legs. They do not hurt, open up, or itch. Dermopathy is harmless and doesn’t need to be treated.

Necrobiosis lipoidica diabeticorum

Changes in the blood vessels can cause necrobiosis lipoidica diabeticorum (NLD). NLD is a rare condition that causes spots similar to diabetic dermopathy, but they are fewer, larger, and deeper. It often starts as a dull, red, raised area. After a while, it looks like a shiny scar with a violet border. The blood vessels under the skin may become easier to see. Unfortunately, sometimes NLD is itchy and painful.

Eruptive xanthomatosis

Diabetes can also cause eruptive xanthomatosis. It consists of a firm, yellow, pea-like enlargements in the skin. Each bump has a red halo and may itch. This condition occurs most often on the backs of hands, feet, arms, legs and buttocks. Fortunately, these bumps disappear when diabetes control is restored.

Diabetic blisters (bullosis diabeticorum)

Rarely, people with diabetes can have blisters. Diabetic blisters can occur on the backs of fingers, hands, toes, feet and sometimes on legs or forearms. These sores look like burn blisters and often occur in people who have diabetic neuropathy. They are sometimes large, but they are painless and have no redness around them. Usually, they heal by themselves, usually without scars, in about three weeks. The only treatment is to bring blood sugar levels under control.

Conclusion

To conclude, there is a connection between diabetes and skin complications. To protect ourself from the skin complications, it is very important to take control of our diabetes, check our blood sugar level regularly as well as visit our endocrinologist regularly. However, if we face some skin complications and don’t know how to solve them, we should go to our dermatologist (skin doctor).

January 1, 2020 0 comment
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A girl who has been diagnosed with type 1 diabetes for 21 years, shares her personal everyday experiences and explains how she manages her diabetes world.

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