“While approximately one in every 400 children and adolescents have Type I diabetes; recent Government reports indicate that one in every three children born in 2000 will suffer from obesity, which as noted is a predominant Type II precursor.”

Tim Holden(born March 5, 1957) is the former U.S. Representative for PA | 17, who served in Congress from 1993 to 2013.

Diabetes is becoming more common in the United States.  From 1980 through 2011, the number of Americans with diagnosed diabetes has more than tripled (from 5.6 million to 20.9 million).

 DIABETES: The Signs & Symptom and How to control the them:

The signs and symptoms of Diabetes 1 or 2 with hyperglycemia (HIGH GLUCOSE LEVELS):

THINK OF THE 3 P’s=

1.)Polyuria-a lot of urinating due to your body trying to void out of the body excess glucose in your urine. This causes the next symptom due to your voiding a lot of urine which causes your body to lose fluid and in return you become very thirsty with hungry. This gives you:

2.)Polydipsia= very thirsty

3.)Polyphagia=very hungry

This should be a red light for a diabetic with these one or all 3 symptoms to finger stick themselves.   See where your glucose level is at and if over 200 this is why you have one or all of the “P” symptoms (listed above).

Other s/s of Diabetes consist of:

– Tingling / Numbness in the hands and feet (diabetic neuropathy)

-Very tired and fatigued

-Weight Loss (more common to see in Diabetes 1)

-Blurred Vision.

-Sores that do not heal; and if not healed, this can cause in time a severe condition.

Complications that can come about due to DIABETES:

Dental Disease – Diabetes can lead to problems with teeth and gums, called gingivitis and periodontitis.

Heart Disease – People with diabetes have a higher risk for heart attack and stroke.

Eye Complications – People with diabetes have a higher risk of blindness and other vision problems.

Kidney Disease – Diabetes can damage the kidneys and may lead to kidney failure.

Nerve Damage (neuropathy) – Diabetes can cause damage to the nerves that run through the body.

Foot Problems – Nerve damage, infections of the feet, and problems with blood flow to the feet can be caused by diabetes.

Skin Complications – Diabetes can cause skin problems, such as infections, sores, and itching. Skin problems are sometimes a first sign that someone has diabetes. Sores that cannot heal due to constant high glucose in the body can lead into a severe condition=AMPUTATION of the foot or leg.

**. (At least 15 % of all people with diabetes eventually have a foot ulcer, and 6 out of every 1000 people with Diabetes have an AMPUTATION. Possibly first surgery with bypassing the blood can resolve the problem 100% or like many only temporary. It is based on your other medical history with how brittle the diabetes and how compliant you are in taking care of yourself with diabetes.***

All these complications are effected by hyperglycemia and in playing a part in the blood circulation of our body. Ending line the person is getting bad oxygenated blood supply sent to the lower extremities when the glucose is poorly controlled over a long time. Based on the principle of gravity; what happens here is the heart pumps our blood throughout our body and when it gets difficult for the organ to do its job due to thick high glucose blood than it has to compensate at some point. Simply a narrowing to a blockage is occurring in that lower extremity and the reason for this is it’s the furthest area from the heart=FEET/LEGS. This is why you never see or rarely see a diabetic having an arm amputated due to hyperglycemia.

This can be caused by just thick high glucose blood flowing throughout the body making it difficult for the heart to pump as effectively as opposed to someone that doesn’t have hyperglycemia which over time leads to further complications (listed above).

Diabetes with constant high glucose blood levels can leaded into poor circulation causes the feet and lower leg to first become cool to cold to changing colors of pale to cyanotic (purple) which takes over weeks to months to years, depending on the patient. Then the tissue gets necrotic (black=dead tissue) and an amputation has to be done to save the person or else this will get infected locally, at first, going into a systemic infection causing the person to go into septicemia and expire.

HOW we can decrease the risk of complications and decrease the chance of diabetes worsening or KEEP IT UNDER CONTROL = PRACTICING VERY GOOD MANAGEMENT IN CARING FOR YOUR DIABETES.

This is how you can reach this goal:

-Controlling your blood glucose, blood pressure, and cholesterolcan make a huge difference in staying healthy. Talk with your doctor about what your goals should be and how to reach them but make sure you are given information on paper or write down what it is you have discussed in the doctor’s office based on your care for diabetes and what to do. Usually diabetic information on paper is available and given to you.

To reach this know the following:

-Your healthy eating plan that you and your doctor with a dietician have discussed.

-Overweight? Than diet down to your therapeutic weight range for your height after discussed with by you with your doctor.

-Be physically active for 30 to 60 minutes most days but if this is new get your doctor to clear this activity for you with what kind of activity you are allowed and not allowed.

-Take your medicines as directed and keep taking them even after you’ve reached your goals; or you will be at high risk of ending up the way you were earlier=Diabetes badly controlled with running into the problems you had earlier.

-If you smoke=QUIT.

-Check your skin daily in particular the FEET and LOWER LEGS to check for redness, swelling to blisters, sores and sore toenails

-Ask your doctor if you should be taking aspirin to prevent a heart attack or stroke by making the blood less thick to thinner making it easier for the heart to pump and less stress to the organ.

-Need assistance like others have needed? Here it is; knowing how to surviveee with Diabetes 1 or 2 and that is to reach the best goal you can in treating it:

The key is to controlling your DIABETES is to be living a healthy life! This consists of diet, exercise or activity and healthy habits learned and practiced routinely in your life that will help prevent or assist in treating diabetic disease. The better we treat ourselves regarding health the higher the odds we will live a longer and healthier life. There is not just one food to eat or one type of exercise to do or one healthy habit to practice in order to keep you healthy, there’s choices. Come onto my website which is no fee, no charge, no hacking, just letting you check us out to look further in understanding how to take a shape for your life with Dr. Anderson and even myself as your health coach in helping you learn what healthier habits or changes you want for a healthier way of living, learn how to eat out of the 4 food groups still following your diabetic diet as ordered by your MD. It allows you to make all the decisions in what you want to do regarding what to eat (diet), exercise/activity, and what healthy habits you want to add in your life. We just provide the information and healthy foods in your diet, if you decide you want it. You make all the choices.

 Wouldn’t you want less disease/illness for yourself, for your family, others significant to you and even throughout the nation including our future generations. Wouldn’t it be great to see Diabetes decrease in America for future years and giving us an ending result of higher probability that we would overall a healthier country with less disease. If that included Diabetes what an impact it would play in decreasing other diseases alone caused just by Diabetes.

I’m not a diabetic but eating overall healthy and in my diet range (barely) but there and increasing my activity. Do yourself and maybe others a favor by going to my website. Click onto heathyusa.tsfl.com and join me like so many others in tring to reach this goal. I hope to hear from you soon. Take a peek;) it doesn’t cost you a dime. You may just like what you see.

 REFERENCES for Part 1 and Part 2 :

1.)Center for Disease (CDC) – “National Diabetes Fact Sheet”

2.)NYS Dept. of Health –Diabetes

3.)Diabetic Neuropathy.org “All about diabetic neuropathy and nerve damage caused by Diabetes.”

Copyright 2002 – 2013.

4.)NIDDK “National Institute of Diabetes and Digestive and Kidney Diseases”

1. National Diabetes Information Clearinghouse (NIDC) – U.S. Department of Health and Human Services. “Preventing Diabetes Problems: What you need to know”

“Trying to manage diabetes is hard because if you don’t, there are consequences you’ll have to deal with later in life.”

Bryan Adams(born 5 November 1959) is a Canadian rock singer-songwriter, musician, producer, actor and photographer. Best known for hit singles including “Summer of ’69“, “Run To You“, number one single “Everything I Do (I Do It For You)” and “18 Til I Die“.

Diabetes is becoming more common in the United States. From 1980 through 2011, the number of Americans with diagnosed diabetes has more than tripled (from 5.6 million to 20.9 million). Do you know how much it is costing in our country?

What is diabetes?

Diabetes is a group of diseases marked by high levels of blood glucose resulting from defects in insulin production, insulin action, or both. Diabetes can lead to serious complications and premature death, but people with diabetes, working together with their support network and their health care providers, can take steps to control the disease and lower the risk of complications.

There are 2 types:

Type 1 diabetes was previously called insulin-dependent mellitus (IDDM) or juvenile-onset diabetes. This type of diabetes happens when the immune system ends up destroying beta cells in the body that come from our pancreas and they are the only cells in the human body that make the hormone INSULIN the regulates your glucose. Insulin allows glucose to transfer into the cells and tissues of our body to give them their energy to do their job in the body and nutrition to work properly=sugar-glucose. To live with this diabetes the person must have their insulin delivered by injection or a pump. This form of diabetes usually occurs in children or young adults but can occur at any age.

Type 2 diabetes was called non-insulin dependent diabetes mellitus (NIDDM) or adult-onset diabetes. In adults, type 2 diabetes accounts for about 90-95% of all diagnosed cases of diabetes. It usually begins as insulin resistance, a disease in which the cells do not use insulin properly due to the pancreas not making enough or the pancreas not secreting the correct form o of insulin to do its function. Ending line the insulin isn’t working properly. As the need for insulin rises, the pancreas gradually loses its ability to produce it.

Type 2 diabetes is associated with older age, OBESITY, family history of diabetes, history of gestational diabetes, impaired glucose metabolism, physical inactivity and race/ethnicity.

Gestational diabetes is a form of glucose intolerance diagnosed during pregnancy. Gestational diabetes occurs more frequently among African Americans, Hispanic/Latino Americans, and American Indians. It is also more common among obese women and women with a family history of diabetes. During pregnancy, gestational diabetes requires treatment to optimize maternal blood glucose levels to lessen the risk of complications in the infant.

Other types of diabetes result from specific genetic conditions (such as maturity-onset diabetes of youth), surgery, medications, infections, pancreatic disease, and other illnesses. Such types of diabetes account for 1% to 5% of all diagnosed cases.

Treating diabetes

Diet, insulin, and oral medication to lower blood glucose levels are the foundation of diabetes treatment and management. Patient education and self-care practices are also important aspects of disease management that help people with diabetes lead normal lives.

• To survive, people with type 1 diabetes must have insulin delivered by injection or a pump.
• Many people with type 2 diabetes can control their blood glucose by following a healthy meal plan and exercise program, losing excess weight, and taking oral medication. Medications for each individual with diabetes will often change during the course of the disease. Some people with type 2 diabetes may also need insulin to control their blood glucose.

Self-management education or training is a key step in improving health outcomes and quality of life. It focuses on self-care behaviors, such as healthy eating, being active, and monitoring blood sugar.

Criteria for the diagnosis of diabetes:

• A fasting blood sugar level ≥126 milligrams per deciliter (mg/dL) after an overnight fast, which is just taking the finger stick right when you wake up before breakfast OR
• A 2-hour blood sugar level ≥200 mg/dL after a 2-hour oral glucose tolerance test (OGTT), OR
• An A1c level ≥6.5%.       (The A1C test is a simple lab test that measures average blood glucose levels over the past 3 months. A small blood sample to check your A1C can be taken at any time of the day=simply a blood test)
• Pretty simple isn’t it.

Diabetes is not only common and serious; it is also VERY COSTLY! Let us take a look:

The cost of treating diabetes is staggering. According to the American Diabetes Association, the annual cost of diabetes in medical expenses and lost productivity rose for $98 billion in 1997 to $132 billion in $2002 to $174 billion in 2007.

One out of every 5 U.S. federal health care dollars is spent treating people with diabetes. The average yearly health care costs for a person without diabetes is 2,560 dollars; for a person with diabetes that figure soars to $11,744. Much of the human and financial costs can be avoided with proven diabetes prevention and management steps.

First we’ll cover how water, electrolytes, proteins work in the body to understand how sodium (being a electrolyte) is so important with our health. Then we will cover how to use sodium therapeutically in our diet with knowing how it impacts how your future health and how it prevents with even help you in managing certain diseases or illnesses you already have.

Let us first understand the basics of the human body: a large percentage of body weight is composed of water that is containing dissolved particles of organic and inorganic substances vital to life. A young adult male is about 60% water whereas a female is 50%. Than the percentage of the body weight, that is WATER, declines with age. Since fat contains little water, the more obese a person gets the smaller the percentage of water weight is in that person.   Salt is what we call sodium (NA) + chloride (Cl)=Sodium chloride =NaCl, which are both an electrolytes. Water is distributed throughout the body, but in compartments that are inside our cells, outside of our cells (being plasma), and in our tissues. In these compartments with the water are electrolytes but in varying amounts. The largest percentage of water in our body is inside the cells. The body fluid in us is constantly being lost and replaced for normal body processes to occur.   If we eat daily food and fluids the body easily maintains the compartments in balancing the water and electrolytes in our body (remember the compartments are in the cells, outside of cells, and in the tissues).   We know the body receives water to these different compartments through our diet in what we eat (foods & liquids) and through the metabolism (break down) of the those foods & liquids=nutrition that we eat and through the body tissues. There are ending products from the metabolism (break down) of tissues in our body and our foods and fluids through digestion causing our body to have an ending result of toxins in the body but are body gets rid of them if functioning within normal limits. Two vital processes that do this which demand continual expenditure of water in removal of toxins is:

1.) removal of body heat by vaporization of water via the lungs and the skin(perspiration).

2.)excretion of urea and other metabolic wastes by the kidneys dumping them in our urinary bladder; the stool also in our GI tract plays a role in this removal of metabolic wastes in evacuation.   Solid foods such as meats and vegetables contain 60 to 90% water . Note the normal daily replacement of water roughly equals the normal daily loss with an entire body functioning properly. The volume of water used in these processes varies greatly with external influences such as temperature and humidity.

All body fluids contain chemical compounds. Chemical compounds in solution may be classified as electrolytes or nonelectrolytes based on their ability to conduct an electric current in the solution. Electrolytes are either positive, which is a charged particle called an cation (electric current=Na+); or negative which is not a charged particle called an anion (no electric current=Cl-). This is why you’ll see an electrolyte banner or board up in the front of chemistry class or just in your chemistry book (a positive or negative sign after every abbreviation of each element). It’s letting you know if it is + or -. Proteins are special types of charged molecules. They both have a charge that is dependent on the pH of the body fluids. A normal pH in our plasma is 7.35 to 7.45 and at this level your proteins exist with a net negative charge. In our bodies compartments, when imbalances happen regarding fluids, electrolytes or proteins problems occur; acidity and alkalinity distribution in the body becomes effected.

What does this all mean?

There are 3 main mechanisms for fluid and electrolyte movement in the body to help in maintenance of acid and base balances throughout the human body which are diffusion, osmosis, and filtration. Through these mechanisms transfer of water and electrolytes take place dispensing them in the body where they are needed.

Electrolytes account for most of the osmotic pressure of the body fluids (this pressure is the concentration of solids in a compartment). Electrolytes are VITALLY important in the maintenance of acid and base (alkaline) balancing in all cells to all the plasma to every tissue region of the body. These 3 mechanisms of delivery that balance the fluids and electrolytes in our body you need to have working correctly; but when the body ends up getting imbalances of electrolytes or fluids over a long period of time certain illnesses or diseases can arise. If a system fails in our body, this can put the electrolyte and fluid balance off causing health problems in our body; take for example. kidneys that play a major role in removing toxins from our bloodstream by pulling them out of the blood vessels that filter through the kidneys and allows the organ to dump the toxins into our urinary bladder where we excrete them.   When we void, the more yellow the urine means the higher the amount or concentration of toxins is in the urine and that was dumped in the urinary bladder by proper kidney function. So if disease like renal (kidneys )failure occurs than this messes up the entire process of balancing the acid and base fluids in the body by allowing the toxics to stay in our body which causes them to be dumped elsewhere, like in our tissues=the body is trying to compensate. This will cause yellowing to the sclera, skin, etc… which we call jaundice and if not repaired you will die sooner in life.

Now, let us get in the specifics of the electrolyte sodium chloride and health. Table salt is made up of the elements sodium and chloride – the technical name for salt is sodium chloride. Your body needs some sodium to work properly. Na in our body plays important roles and works with potassium. It helps with the function of nerves and muscles. It also helps to keep the right balance of fluids in your body. When Na gets high concentrated (in blood=hypernatremia) our body reacts by allowing more water in that compartment (ex. Plasma) to balance out the electrolyte and fluids in that compartment to prevent complications. Your kidneys control how much sodium is in your body. If you have too much and your kidneys can’t get rid of it, sodium builds up in your blood (hypernatremia). This can lead to health problems. In healthy individuals, the kidneys respond to excess sodium by flushing it out in the urine. Unfortunately, this also removes potassium. If potassium levels are low, the body tries to hoard it, which also means hanging onto sodium. Water follows sodium, leading to an increase in the amount of water in the body and the volume of blood in circulation. Excess sodium blunts the ability of blood vessels to relax and contract with ease causing your vessels to vasoconstrict which increases pressure in your vessels=high blood pressure (B/P)and may also overstimulate the growth of heart tissue. Blood pressure climbs, and the heart must work harder=stress to the heart. When we stress the heart out=overworked, lack of oxygen to the heart tissue happens=pain (we call it Angina that can be reversed) and if it continues can lead to a heart attack (scarring to the heart=damage done to the heart that’s not reversible). Also with constant high B/P with constriction of vessels in the brain this can cause the same stress=headache which if not resolved can lead to a stroke (scarring to the brain, again not reversible).   All of these responses are made worse by low potassium intake.

In some people, especially those already diagnosed with high blood pressure, heart failure, or impaired kidney functioning, the kidneys hang onto sodium no matter what, further complicating the disease they have and worsening their health.

One way to flush sodium out of the body is by getting more potassium. An interesting report from the Trials of Hypertension Prevention suggests that changing the balance between these two minerals can help the heart and arteries.

High blood pressure can lead to other health problems, especially uncontrolled.

Most people in the U.S. get more sodium in their diets than they need. A key to healthy eating is choosing foods low in salt and sodium. Doctors recommend you eat less than 2.4 grams per day. That equals about 1 teaspoon of table salt a day. Reading food labels can help you immensely in seeing accurately how much sodium is in prepared foods of your meals you eat.

Most of the focus on sodium and potassium centers on their effects on the kidneys, blood vessels, and heart.  But these minerals affect every part of the body, including the relentless breakdown and buildup of bone.  A diet high in sodium increases the amount of calcium excreted in the urine. This loss is especially prominent when calcium intake is low, as it is for so many Americans. Loss of calcium can contribute to osteoporosis, the age-related weakening of bones=easier fractures and brakes in bones.

One way to combat the problem is by taking in more calcium from food or supplements. Getting more potassium, in the range of the recommended 4,700 mg a day, can also help.

To be sure, there is more to bone health than sodium and potassium. Heredity, lack of exercise, hormone levels (low testosterone in men, low estrogen in women), and a dearth of vitamin D and vitamin K can also weaken bones. But it’s good to know that a positive change made for your heart is doing good things elsewhere in the body.

One way to prevent or fight high blood pressure and keep the heart healthy is to boost the amount of potassium you get while at the same time reducing your sodium intake. (Note: Check with your doctor before boosting your intake of potassium. Although it’s a good strategy for many, it can be harmful to people with kidney disease or heart failure, or those who are taking certain kinds of diuretics, or “water pills.”) Recommended if with any disease get clearance from your m.d. before making changes in your diet, activity, and any health habits (especially if a cardiac, renal, diabetes diagnosis)

The best way to get more potassium and less sodium is by eating more fresh fruits and vegetables, beans, fish, homemade foods, and low-salt versions of prepared foods. You can top the 4,700-milligram mark for potassium and stay under 800 mg of sodium by having regular oatmeal, orange juice, and coffee for breakfast; a peanut butter and jelly sandwich and milk for lunch; baked halibut, a baked potato with the skin, and a spinach salad with half an avocado for dinner; and some peanuts, raisins, a banana, and low-sodium V8 in between. The potassium-to-sodium ratio of this menu is 14 to 1. Best way to figure out the amount of sodium or potassium in your diet is count what the label of the food your eating states is in a serving and document it up in 24hrs and add it up. Add in some exercise and, though you aren’t living like people in the Stone Age, you might have arteries as healthy as they had.

To know what primary (prevention) or secondary management of diseases or illnesses caused by or effected by sodium blood levels in the body with learning how to control and take proper sodium intake as best as possible this can be accomplished by eating a healthy diet (low sodium), practice healthy habits, and even lose weight if necessary. Doing this will let you reach your optimal level of health. Need a little help than go on to my website healthierusa.tsfl.com/ and let Dr. Anderson with his book “Dr. A’s habits of health” and myself as your health coach in directing you and giving you the knowledge in how to eat sodium healthy, how to lose weight by living healthy habits and eating healthy not just 3 mths or a year but for life with being able to treat yourself to treats and foods occasionally not the healthiest. Through Dr. Anderson’s book you will learn about all 4 food groups in how to eat the foods (including sodium), when to eat the foods, what portion sizes to use, with learning even about diseases and illnesses that can occur through poor habits in diet, activity, and more. This program is giving you the steps that can lead you in the right pathway of how to control your life with reaching your optimal level of heath. You make the choices of what changes you want to make, no one else. There is no fee, no donations, no hacking, and no obligation on your part other than just to take a peek and see if what we can provide is what you would like. It can help you with keeping your sodium low or within normal limits and reaching a healthier life which could impact even others around you especially your family and friends. If this occurs and this news spreads throughout America it would make our country much healthier which we could use for now and in the future. This is not a recruiting organization but a company that can help you and many others live a better and possibly longer life. Hope I have helped you in someway dealing with sodium in your diet. Also, I hope to hear from you both with your comments on the articles you read on my blog with visiting the website in taking the right step to reach the optimal level of your heath including learning methods that help you deal the best with maintaining a good sodium blood level in your body.

“TUESDAY, June 25, 2013 (MedPage Today) — A detailed history of patients with arrhythmia or syncope might need to decrease their cola intake or the origin of the honey they consume, two case studies suggest.” 

Chris Kaiser, Cardiology Editor, MedPage Today www.everydayhealth.com

Syncope, also known as fainting, is a sudden, temporary loss of consciousness.

THE CAUSES:

Syncope is caused by a temporary decrease in the flow of blood to the brain. A large number of situations or conditions can cause this decrease in blood flow. They can include straining for a prolonged period of time, common mild illnesses like as simple as the cold or flu or sinusitis, standing up too quickly allowing the blood to drop from the brain in decreasing blood supply to that area, emotionally stressed, heart disease, standing rigidly for a long time, arrhythmias (abnormal heart beats = irregular heartbeats), pain, fright, drugs and alcohol.

Certain heart conditions can cause syncope. They include heart attacks, certain arrhythmia (like atrial fibrillation), hypertropic cardiomyopathy (A disease that involves thickening of the heart muscle which is greatest in size on the L side of the heart since that side of the heart has to pump blood to the feet up to the head and back to the right side of the heart; the Rt. side of the heart only pumps blood from the Rt side of the heart to lungs and back to the L side of the heart with oxygenated blood.) Other conditions causing syncope can be disorders of the heart valves, or heart blocks (a problem with the heart’s electrical system blocked due to the conduction system not going completely from the top to the bottom of the heart which can be slight (1^st degree heart block to moderate=2 types of 2^nd degree heart block to completely being 3^rd degree heart block).

DIAGNOSIS:

Like any other condition in determining the cause we have to use diagnostic tools through certain tests to figure out the actual etiology of the syncope or any symptoms you’re experiencing.

The doctor will start with a thorough physical exam and review of your medical history with significant changes from your last physical or visit with the doctor. The doctor may recommend certain diagnostic tests to determine the cause of your fainting episodes. These tests could include: X-rays, use of a Holter monitor (a device that you wear during the day that records the electrical activity over a period of time), or other diagnostic or imaging testing procedures.

Our doctor might recommend a “tilt-table test”. This test involves a special table that tilts upright. Sometimes, medications are given during the test to help with the diagnosis. Your doctor may order a Stress Test where you walk to run on a treadmill with or without IV contrast to determine if this is possible cardiac situation and if it is than the doctor would further order other cardiac testing from Echocardiogram (soundwaves checking the heart) to microsurgery possibly like an angiogram (cardiac cath)=microsurgery if the situation was a blockage in an artery that needed to be declogged than a angioplasty would be performed if you were a candidate for this procedure, which a cardiologist would decide.

PREVENTION OF THIS PROBLEM:

If this was to prevent cardiac conditions from occurring to stop the syncope from occurring live a life with a healthy diet, balancing exercise and rest and if overweight start a program with both diet and exercise involved. To do it right first go to a cardiologist, if obese or overweight, to do it safe and correctly.

Already with some type of cardiac problem than be compliant in what your cardiologist provides you in your individual plan of care in treating this condition to prevent it worsening or causing other problems as well.

TREATMENT:

Treatment depends on the cause of the fainting spells. If the problems are related to medications the doctor may have to change the dosage or the type of medication. Medications are generally not required to treat syncope, but they might be required to treat the cause of syncope.

Most fainting spells are not dangerous. Individuals usually regain consciousness on their own in a few minutes.