Diabetes--What You Need to Know About This Hidden Danger

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Diabetes--What You Need to Know About This Hidden Danger

By: Larry Denton

Diabetes is a disease in which blood glucose levels are above normal. Most of the food we eat is turned into glucose (sugar) for our bodies to burn to create energy. The pancreas, an organ that lies near the stomach, produces a hormone called insulin to help glucose get into the cells of our bodies. When you have diabetes, your body either doesn't make enough insulin or can't use its own insulin as well as it should. This causes large amounts of sugar to build up in your blood.

The actual cause of diabetes continues to be a mystery, although both genetics and environmental factors such as obesity appear to play major roles. Diabetes can cause serious health complications including heart disease, blindness, kidney failure, and lower-extremity amputations. According to the Center for Disease Control, diabetes is the sixth leading cause of death in the United States. As of 2002, 18.2 million people in the U.S.--6.3 percent of the population--had diabetes, with 1.3 million new cases being diagnosed each year. The National Institutes of Health also estimate that an additional 5.2 million people have diabetes without actually being aware of it.

There are two main types of diabetes. Type 1 diabetes, which was previously called insulin-dependent diabetes or juvenile-onset diabetes, accounts for about 10% of all diagnosed cases of diabetes. Type 2 diabetes, which was called non-insulin-dependent or adult-onset diabetes, accounts for the remaining 90%. Gestational diabetes is a type of diabetes that only pregnant women get. If not treated, it can cause problems for both the baby and the mother. Gestational diabetes develops in 2% to 5% of all pregnancies, but usually disappears when the pregnancy is over.

Diabetes is a serious disease and phrases such as "a touch of diabetes" or "your blood sugar is a little high" tend to dismiss the fact that diabetes is a major killer of Americans. In addition to the lives that are lost, diabetes has a tremendous economic impact in the United States. The National Diabetes Education Program estimates the cost of diabetes in 2002 was $132 billion. Of this amount, $92 billion was due to direct medical costs and $40 billion due to indirect costs such as lost workdays, restricted activity, and disability due to diabetes. The average medical expenditure for a person with diabetes was $13,243, or 5.2 times greater than the cost for a person without diabetes. In addition, 11 percent of national health care expenditures went to diabetes care.

In response to this growing health burden of diabetes, the diabetes community has three choices: prevent diabetes; cure diabetes; and improve the quality of care of people with diabetes to prevent devastating complications. All three approaches are being actively pursued by the U.S. Department of Health and Human Services. Many government agencies, at all levels, are involved in educational campaigns in an attempt to prevent diabetes, especially type 2. Several approaches to "cure" diabetes are also being pursued: pancreas transplantation, islet cell transplantation (islet cells in the pancreas produce insulin), the development of an artificial pancreas, and genetic manipulation where fat or muscle cells that do not normally make insulin have a human insulin gene inserted and are then transplanted into people with type 1 diabetes.

While there is yet no cure for diabetes, healthy eating, physical activity, and insulin injections are the basic therapies for type 1 diabetes. For those with type 2 diabetes, treatment includes healthy eating, physical activity, and blood glucose testing. Many people with type 2 may require oral medication to control their glucose levels. People with diabetes must take personal responsibility for their day-to-day care, and keep blood glucose levels from going too low or too high. The key to living a long and healthy life with diabetes is to learn about the disease, exercise daily, follow a diabetes food plan (right portions of healthy foods, less salt and fat), stop smoking, take prescribed medications, get routine medical care, brush your teeth and floss every day, monitor your blood glucose the way the doctor tells you to and remain positive. Using the correct routines, thousands of people with diabetes have lived long, happy and productive lives.

About The Author

Larry Denton is a retired history teacher having taught 33 years at Hobson High School in Hobson, Montana. He is currently Vice President of Elfin Enterprises of Montana, Inc. an Internet business dedicated to providing information and resources on a variety of topics. His father and grandfather both died from diabetes-related complications and Larry carefully monitors his health. For more information about diabetes visit http://www.diabetesaide.com.



ME 07.02.2009. 20:14

What are the short & long term effects of type 2 diabetes? -- How does type 2 diabetes impact the body over the short term (daily, monthly, or over 1 to 5 years)?

-- How does this disorder impact the body over extended periods of time (10 to 30 years or more)?

--Please help me find both answers. If possible, the short term is more important to have.


Admin 07.02.2009. 20:14

A bit more bad news for diabetics that you may not have known: having a diagnosis of type 2 diabetes makes your risk of having a heart attack just the same as someone who already had a heart attack. This means it is automatically assumed that with diabetes, there may be hidden heart disease as well.

Blood pressure monitoring is crucial for those with diabetes.
(Photodisc)In addition, a worldwide study of over 21,000 patients with diabetes found that vigorously controlling your blood sugar to get your blood sugar levels into near normal range did not lower the risk of heart attack or heart disease. For some patients, tight control of blood sugar led to more episodes of dangerously low blood sugar too.

So what is a patient with diabetes to do to lower the risk of heart attack?

It turns out that controlling your blood pressure is perhaps the single most important thing you can do to reduce many of the complications from diabetes. The dangers of high blood pressure ? even a few points above normal ? are much greater for diabetics.

Complications or Sequelae of Diabetes

Sometimes a complication of diabetes may give a clue to the presence of the disease. The principle complications or sequelae associated with diabetes are retinopathy, neuropathy, nephropathy and arteriosclerosis. Whether these are the unavoidable consequences of the diabetic state over time or whether they may be influenced by controlling the diabetes through aggressive monitoring, treatment and life-style management, including diet and supplements, remains a central topic.

One of the largest, most comprehensive diabetes studies conducted to date2 showed that keeping blood sugar levels as close to normal as possible through aggressive management slows the onset and progression of eye, kidney and nerve diseases caused by diabetes. In fact it demonstrated that any sustained lowering of blood sugar helps, even if the person has a history of poor control.

Specifically it found that lowering and maintaining more constant blood sugar levels reduced the risk of eye disease by 76%, kidney disease by 50%, nerve disease by 60% and cardiovascular disease by 35%.

Potential long-term complications
People who have had diabetes for several years are likely to develop long-term complications. These complications can be minimized by proper diabetic management.

? Vascular disease: By the time men and women with Type 1 diabetes reach age 55, about 35 percent of them will have died from a heart attack compared to eight percent of non-diabetic men and four percent of non-diabetic women. People with Type 1 diabetes also are at higher risk to develop blockages in the major arteries of the legs than non-diabetics. Lower the risk of vascular disease by aggressively treating cholesterol and blood pressure, exercising regularly, and avoiding or quitting tobacco products.

? Microvascular (small vessel) disease: Microvascular changes occur in the capillaries of every organ in the body. There is a thickening of the wall of the small blood vessels. These changes are responsible for many of the diabetes complications.

? Diabetic retinopathy (eye disease)
- see an illustration

? Diabetic nephropathy (kidney disease): Kidney abnormalities may be noted early in the disease. Poorly controlled diabetes may accelerate the development of kidney failure. Urinary tract infections in diabetics tend to be more severe and may result in kidney damage. Diabetics are more vulnerable to kidney damage from high blood pressure than non-diabetics.

? Diabetic neuropathy (nerve damage)

? Foot problems

? Skin and mucus membrane problems: People with diabetes are more likely than non-diabetics to develop infections. Hyperglycemia (high blood sugar) predisposes diabetics to fungal infections of the skin, nails, and female genital tract and to urinary tract infection.


HeyHer87 26.10.2006. 22:33

Can an in control type 1 diabetic get a tattoo on their foot? I'm 18 years old and have been diagnosed with type 1 juvenile diabetes for 5 months now. I exercise daily and my BG's are in control. I am turning 19 in a couple of weeks and me and my sisters would like to get matching tattoo's on our feet (because it's easy to hide if needed and the skin doesn't stretch so much there). I was just wondering if any other diabetics have tattoo's on their feet and if it has caused any problems.


Admin 26.10.2006. 22:33

I'm a RN and was a Diabetes Nurse Educator at a large local hospital. I always am completely amazed by some of the medical questions I come across I taught Nursing students for a number of years and their questions always kept me challenged too. The good news is that you have your brain working well for you, anticipate that this tattoo proposal may not be in your best interest (It isn't), and have the intellectual fortitude and wisdom to ask the question before acting impulsively on your sibling plan. First of all I want to commend you on your initial response (5 months) to managing your type 1 Diabetes but you are just beginning your very lengthy and challenging journey and the choices you make now will likely affect you and your medical condition for the remainder of your life. You do not say if you are under the care of a Diabetologist, what your last Hgb A1-C was, what your specific blood levels were, what type and doses of Insulin you are presently taking, etc. This information is of course particularly of interest to me because of my history of teaching Diabetes particularly to teenagers just your age. At any rate, any Diabetes RN or Diabatologist with atleast one neuron still firing in their brain would tell you that feet, ankles, and calves are totally no man's land as far as type1 diabetics go which means that they should never be touched by a tattoo artist. I just couldn't approve of a tattoo for you anywhere at this point because of the potential dangers of infection,etc. I'm pleased that you seem to have a great relationship with your sisters and want to do something together to celebrate your 19th birthday. I'm all for that. Is it possible for you and your sisters to do something together that relates to exercise which I do approve of? What comes to mind is going off for a few hours to play paint ball games or perhaps rent scooters or ATV's There must be some activities that all of you would enjoy if you all put your minds together. What about going bowling followed by eating out. Would you consider driving to a nearby town and checking out the mall to buy some music, followed by eating out at one of your favorite hangouts. These are just a few ideas that some of the teens I worked with chose to do. Keep up your daily exercising as it has a tremendous positive effect on your Diabetes management. I hope that you have a wonderful 19th birthday and that your Diabetes control remains in such good shape. Good luck to you.


meme 05.02.2009. 03:47

Do people with diabetes die faster than people without permanent medical medical problems? I have a friend with diabetes and she used to be fine but these couple days at school she is always telling me her stomach hurts and complains! I'm afraid but, I think that she might die!I know that's kinda stupid to think , but, I can't help it! please, answer this!


Admin 05.02.2009. 03:47

A bit more bad news for diabetics that you may not have known: having a diagnosis of type 2 diabetes makes your risk of having a heart attack just the same as someone who already had a heart attack. This means it is automatically assumed that with diabetes, there may be hidden heart disease as well.

Blood pressure monitoring is crucial for those with diabetes.
(Photodisc)In addition, a worldwide study of over 21,000 patients with diabetes found that vigorously controlling your blood sugar to get your blood sugar levels into near normal range did not lower the risk of heart attack or heart disease. For some patients, tight control of blood sugar led to more episodes of dangerously low blood sugar too.

So what is a patient with diabetes to do to lower the risk of heart attack?

It turns out that controlling your blood pressure is perhaps the single most important thing you can do to reduce many of the complications from diabetes. The dangers of high blood pressure ? even a few points above normal ? are much greater for diabetics.

I read some where that type 1 diabetics( 1/3 of them die before they are 55.)


? ? ? Team Edward ? ? ? 11.07.2010. 08:18

How could I make my hamsters life a little less boring? She just seems to be bored all the time does anyone have any ideas for homemade toys are tricks I could teach her?

Serious answers only!

Tanx :D
I have a hamster ball all what she does is sit in it she won't go around in it

? ? ? Team Edward ? ? ?

Admin 11.07.2010. 08:18

yes, give it more toys! She love toys and also buy small pieces of gnaw bark- from a local pet shop- my hamster was bored, i gave him toilet tubes but he just used it as a toilet then sat in a corner, so i bought him plastic tubes! If you have a cage which tunnels will connect to, why wait? My hamster loves tubes, he's never bored (If you don't have a cage that does connect, buy a Rotastak cage with tunnels -she'll adore then- and they aren't expensive at all! Also, i have a hamster wheel that stands by its self, she'll give herself exercise with that (when she knows what to do!)
Here's a Game me a Toffee learned together, and maybe you and your hammy can too!
give her toys, sawdust, wooden toys, then take her out and pop her in her ball.
Next hide treats behind these objects, put her back in the cage, and with her good sense of smell (better than humans) she'll be able to find it
DON'T hide it underneath objects, she might hurt herself trying to find it, or maybe not find it at all, that's some treats wasted
and DON'T give her too many, this will cause serious danger for the hamster, maybe even illnesses!
Also DONT give him treats that we would normally have, hamsters love to eat. They will pretty much eat whatever you put in front of them. As a result, you have to be responsible with what you give your hamster. This is especially true because they are so small. A small drop of food to a dwarf hamster is like a burger to you and me. If you feed them something they shouldn't have, it will do more damage than you might think. You should also be careful to not give them too many sugary treats as this could cause diabetes, and your hamster will not have long to live! :(
For my hamster i also have a Karlie Wonderland Tree House Mice Hamster Cage Pet Toy, it's amazing! I have a syrian hamster and he loves it, hes never bored! If you don't like this Karlie Wonderland products are the best thing to buy for your hamster!
Hope this helped your little cutie,thanks x for listening :D


Aaron 23.11.2011. 06:06

What are ways to make sure that my cat can live long? And do you mind telling me what are ways that cats usually die? Can you share a story? Speaking as if it is strictly an indoor cat.


Admin 23.11.2011. 06:06

If you are keeping your cats indoors (or indoors but with access to a secure outdoor enclosure) you avoid many dangers that can drastically shorten cats' lives.

For indoor cats, death usually comes from a chronic disease process. Some of that's influenced by genetics, of course -- it's "the luck of the draw" in what they inherit from their ancestors. But that doesn't mean there's nothing you can do to give your cat a better chance for a long life.

* A healthy diet -- but it's important to learn what that actually means! A healthy diet for a human is not the same thing as a healthy diet for a cat. (See link below)

* Making sure the cat stays physically fit. (of course this is related to the previous point)

* Vet care: annual vet exams, and many vets recommend that cats over about 10 years should see a vet every 6 months and at least once a year should have a geriatric panel of blood and urine tests, so if the cat does develop some health problem it can be caught early and treated, which can make a huge difference.

.....plus getting the cat to a vet if it gets sick in between the regular check-ups. Since cats are known for hiding illness and pain as much as possible, it's important to take seriously changes in appetite, amount of food or water consumed, changes in weight, urination, defecation, energy level, or a change in behaviour -- like a cat who was always friendly suddenly snapping at people or spending much of the time hiding.

The number one disease that indoor cats die from is Chronic Kidney Disease (also known as Chronic Renal Failure but vets started calling it CKD since "failure" sounds so grim and hopeless; but although it is a progressive, terminal disease , some cats can live for years after diagnosis.

Of course it's far preferable for the cat and the cat owner to avoid (or at least greatly delay) the onset of kidney disease in the first place. One thing that may help avoid that is to make sure your cat gets plenty of moisture in his/her diet. Domestic cats are descended from desert wild cats and developed to get their moisture from their food . So they did not develop to have a strong thirst drive. There have been studies that found that cats on a dry food (kibble) diet only consumed half as much water as cats on a wet food (canned) diet, including both moisture content of food plus additional water they drank. Going around chronically dehydrated is hardly likely to be good for the kidneys.
Another good idea is to follow the 2006 AAFP vaccination guidelines which say the FVRCP vaccine shuuld be given no more often than every 3 years

And avoid foods that are very high in phosphorus http://www.felinecrf.org/nutritional_requirements.htm#phosphorus (Keep in mind this is talking about cats who have CRF already. but as a cat gets older it's a good idea to not feed high phosphorus food)

It may also be a good idea to start to supplement potassium when tests show it is in the low normal range

Here is a very detailed page on causes of feline kidney disease http://www.felinecrf.org/causes_of_crf.htm

Another important thing to remember is that cats are obligate carnivores with no minimum requirement of carbohydrate in their diet. In fact, high carb food could contribute to obesity and diabetes.


Epiphan 21.07.2013. 09:32

What is the alcohol glycemic index value like? I know a bit about the glycemic index and glycemic load and try to eat healthy as much as I can just like I enjoy having drinks from time to time and wondering if alcohol glycemic index value exists? for vodka, beer, wine etc. Thanks


Admin 21.07.2013. 09:32

According to http://www.glycemic-index.org/alcohol-glycemic-index.html , testing foods for GI values involves feeding subjects 50 grams of carbohydrates, alcohol glycemic index values are very difficult to measure. And ?Alcohol glycemic index value is generally very low, so it should be all right and even healthy to drink? is a myth.

Although GI isn?t everything to explain the nutritional value of foods, it is a very useful tool that lists the speed at which various carbohydrate rich foods are absorbed by your body and how they raise your blood sugar, with glucose having the highest GI rate of 100.

? As testing foods for GI values involves feeding subjects 50 grams of carbohydrates, alcohol glycemic index values are very difficult to measure.

? So alcohol GI, except for certain liquors, is zero or very low as alcohol itself is not a carbohydrate as some believe and does not contain any carbs but it is indeed very high in calories. 1 gram of alcohol contains 7 calories, heaps more than protein or carbs.

? An average glass of wine contains only 5 grams of carbohydrates and a great percentage of calories comes from the alcohol itself. Wine is made from grapes which contain sugars and carbs but these sugars convert to alcohol when grapes are made into wine, hence glycemic index value of wine is very low or close to zero.

? Beer contains maltose- which is worse than sugar with a GI of 110 but during the fermentation of beer, maltose is transformed into alcohol and carbonation. So beer glycemic index is quite low too as beer itself hardly has any carbs or sugar.

? Coctails are an exception for carbohydrate content, as they contain other food items- mainly fruits.

? Liqueurs are usually high in carbohydrates and higher in GI value because of added sugars.

? Vodka and a few other distilled alcoholic drinks hardly contain any carbohydrates, so it is quite hard to measure their glycemic index values.

? Some alcoholic beverages are even labelled for low carbohydrate content these days, claiming to be ?kind of? healthy. Wine producers even lobbied for permission to use the heart-healthy labels in United States and authorities have actually been cool with the idea.

? How your body processes alcohol has also a lot to do with your genes: How much weight you put on or how badly your health may be affected by drinking.

Alcohol and Diabetes:

? Being a drinker makes it rather difficult to manage diabetes, by alcohol hiding the dangers brought on by hypoglycemia, as alcohol can increase insulin secretion and cause hypoglycemia shortly after or for up to ten hours after drinking. It can also affect the hormonal response that would stabilize the blood sugar.

? When your body tries to release stored glycogen to fight low blood glucose levels, alcohol may prevent it, especially if food is not eaten with it. Dizziness, sleepiness and disorientation are common symptoms of ..


Mirah J aka Nigerian 11.03.2007. 03:07

Why are people more afraid of geting fat then having high blood pressure or diabetes? It seems that people are only start to eating right and exercising when they want to lose weight, why not be more concern about the overall health the body?
sorry for the typos lol

Mirah J aka Nigerian

Admin 11.03.2007. 03:07

Because you can see when you are fat. High blood pressure and diabetes are hidden dangers that go hand in hand with obesity and bad eating habits, but since we can't see them we tend to overlook their dangers.


maks_mum 26.03.2009. 20:25

Should I get checked by a specialist for strokes? I had a stroke while I was pregnant. I've since had my daughter and I've been fine. I was talking to my hair dresser and she advised me to get checked out just to be sure. Should I go get checked out or am I ok?


Admin 26.03.2009. 20:25

I would because you should be evaluated for stroke risk. If your stroke was due to hypertension then you should be monitored. I feel doctors do not pay enough attention to women when it come to heart disease. You need to be sure there is no hidden dangers like PAD or diabetes or hypertension all are silent killers and your daughter needs for you to be healthy.


Aaron 04.01.2011. 13:51

Anyone ever heard of a hypochondriac of allergies? What would you think of a woman in her late 50's who talked nonstop about her health problems, constantly told her grown children they had allergies (and has told them this since childhood), managed to make her husband change careers because she couldn't live where he worked due to the "allergens," won't even live with her husband because where he works now has too many "allergies," and doesn't have a job?

Just wondering if anyone's ever heard of a hypochondriac type who obsesses over allergies.


Admin 04.01.2011. 13:51

Yes, of course, Melinda ! Allergy sufferers who have been through the ringer often are very fearful of what else is coming down the road. You are definitely not alone in this.

But lets not stop there: cancer, diabetes, heart disease, arthritis are rampant in the US affecting every family at very high numbers. The US government has guaranteed that we will have nuclear attacks where the fallout can affect millions.

The odds on getting into an auto accident in your life are extremely high, and could happen any day to any family member.

And the list of probable dangers in this world goes on and on and on.

There now... aren't you encouraged ??? LOL

Yes, we could drop dead any moment, which means, always be prepared (Boy Scout Motto).

Anyway, each of us has a daily choice... either we can go hide in a hole... or we can enjoy what blessings we have... and just try to live life...not run from it.

Let's see here...how do we combat rampant paranoia and allergies... oh yeah... here's are some good websites may might help you buckle your chinstrap every day.

All the best to you and yours,


leona8522 21.01.2008. 05:30

If a new cat owner came up to you and asked you what do I need to know, what would you tell them? What literature would you have them read?


Admin 21.01.2008. 05:30

Hi Leona... here are some simple kitten/cat care guidelines:

1) Have fresh water easily accessible at all times changed daily. No milk as it causes bowel distresses because cats are lactose intolerant. http://www.cat-world.com.au/CatMilk.htm

2) A kitten needs to be medically evaluated and vaccinated for feline diseases and dewormed for intestinal parasites which all cats are susceptible to getting. The following are the vaccinations:
Feline Panleukopenia Virus
Chlamydia, Feline Infectious Peritonitis, and Ringworm
Feline Calicivirus/Herpesvirus
Feline Leukemia Virus
More on feline vaccinations: http://www.sniksnak.com/cathealth/vaccinations.html
More on feline deworming: http://www.marvistavet.com/html/body_roundworms_in_cats___kittens.html

2a) Cats benefit from spay/neuter just before they reach the age of sexual maturity (e.g. 5-7 months). Problems with unspayed/unneutered cats is they will urine spray, have a tendency to want to bolt and roam, get into cat fights, become pregnant, etc.
More on neutering: http://www.marvistavet.com/html/body_neutering_the_male_cat.html
More on spaying: http://www.marvistavet.com/html/the_feline_spay.html

3) Kittens/cats benefit from a diet strictly designed for them. Please absolutely no human foods as they contain ingredients which can be toxic to cats. Please see the following "sample" list of foods to avoid feeding a cat: http://www.peteducation.com:80/article.cfm?cls=0&cat=1276&articleid=1029
Dangers of feeding table scraps to cats: http://www.peteducation.com:80/article.cfm?cls=1&cat=1397&articleid=833..

4) Kittens/cats are very fragile so if there's any dramatic changes with their appetite, thirst, bathroom habits and general behaviour it truly requires a visit to the veterinary hospital. Diarrhoea in young kittens is the most dangerous as they can become seriously dehydrated quickly and die as a result. Intestinal parasites as well as sudden changes in diet can be the leading contributors to intestinal distress. When feeding cat food it's best to not suddenly change from one type of food to another rather gradually over time. Here's a chart on how to gradually make the switch: http://www.drsfostersmith.com/pic/article.cfm?dept_id=0&aid=100

5) Cats ideally should be fed on a schedule rather than free fed to develop good eating habits as some cats/kittens are known to gorge their foods and overeat. Later in life this develops into cats who become overweight and is the leading cause for feline diabetes.

6) It's important to kitten/cat proof your home. Cats sometimes accidentally ingest things that can be fatal such as string-like objects. Supervision of string-like toys is highly recommended. More on string and other household dangers to cats: http://www.cat-world.com.au/cat-worlddangers.htm

7) Cats live a safer and healthier life as an indoor pet rather than outdoors which leaves them open to moving cars, wild animals, dogs, cat fights with unvaccinated and diseased cats, mean people who don't like cats, etc. More on the dangers of cats who live outdoors:

8) Cats use a litter box to urinate and defecate. There are many types of litter available. Usually most people prefer Arm & Hammer scoopable. It's best to always scoop daily to keep odours to a minimum. Some cats will refuse to use a soiled box so this is important to keep the box cleaned (scooped) daily. Location of the litter box is important...usually a private space is ideal. More on litter box tips: http://www.hsus.org/pets/pet_care/our_pets_for_life_program/cat_behavior_tip_sheets/preventing_litter_box_problems.html

9) Kitten/cats love to play. They love cardboard boxes and paper bags to hide in and attack. Most pet stores have kitten-safe toys and each cat has their personal favourites so you have to experiment which toy your kitten will fancy. Scratching posts are a must as all cats love to claw. The more the merrier. To encourage your kitten to claw the posts play with a toy nearby them and reward them with a food treat. Anytime your kittens claws inappropriately elsewhere gently pick them up and place them next to their scratching posts.

Instructional video on how to trim a cat's nails: http://www.felinevideos.vet.cornell.edu/trimming_claws/index.shtml

10) Finally, here are a couple wonderful and helpful websites on how to best care for kittens and cats:

Other helpful websites: http://placervillevet.com/kitten_care.htm


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