last stages of diabetes before death

After a transplant, you likely will need to be on immune-suppressing anti-rejection drugs for the rest of your life, which can carry side effects such as diabetes , high blood pressure , and bone thinning. As with a heart attack, immediate treatment can be the difference between life and death. All rights reserved. Dysglycemia-based chronic disease: An American Association of Clinical Endocrinologists position statement. The Office for National Statistics estimates life expectancy amongst new births to be: 77 years for males 81 years for females. In this stage, genetic analysis can help identify underlying genotypes that are commonly associated with type 1 diabetes. J Diabetes Metab 2:167. doi:10.4172/2155-6156.1000167 Copyright: 2011 Soumya D, et al. There are no ketones in the u For people with type 2 diabetes who also have atherosclerotic cardiovascular disease, 2018 guidelines recommend that doctors prescribe medications for these conditions as part of an overall diabetes treatment plan. 2023 Palliative Care Network of Wisconsin, About Palliative Care Network of Wisconsin. If it isn't treated, this can lead to life-threatening dehydration and a diabetic coma. Although rates of cardiovascular complications and death from hyperglycemia each declin The impact on life expectancy depends on various factors, such as how soon a person receives a diagnosis and treatment, and how well they and their healthcare team manage the condition. Last medically reviewed on August 22, 2022, Glucagon-like peptide-1 receptor agonists are drugs that people use to manage type 2 diabetes. You may get a blister or cut on your foot that you don't feel and, unless you check your feet regularly, an infection However, with proper care, regular exercise, following a proper diet, and taking timely me Be careful to frame such discussions therapeutically, clarifying that stopping or adjusting medications is being done to prevent harm and promote patient well-being (2,3). Blood sugar that's either too high or too low for too long may cause the following serious health problems, all of which can lead to a diabetic coma. Palliat Med. Without diabetic ketoacidosis treatment, you will fall into a coma and die. Check out these best-sellers and special offers on books and newsletters from Mayo Clinic Press. Most people with cancer do well physically for a long time and then gradually lose their ability to function as they near the end of life. https://www.diabetes.org/healthy-living/medication-treatments/blood-glucose-testing-and-control/hyperglycemia. Smoothies are a great diabetes-friendly way to give yourself a sweet treat without causing a big spike in your blood sugar. All insulin, hypoglycemics, and monitoring can be stopped in type 2 diabetics. 1 to 3 months before death, your loved one is likely to: Sleep or doze more Eat and drink less Withdraw from people and stop doing things they used to enjoy Talk less (but if they're a child, more) 1 to 2 weeks before death, the person may feel tired and drained all the time, so much that they don't leave their bed. If you suspect that you have either high blood sugar or low blood sugar, you need to check your blood glucose levels and do what your doctor has recommended for you to treat the disease. Click here for an email preview. Most type 2 diabetics can stop hypoglycemic agents entirely in the final weeks of life, unless they are prone to HHS; blood sugars can be checked and hyperglycemia treated if symptoms such as thirst, polyuria develop. Accessed July 11, 2022. Pain can be treated, too. Thanks. If you're with someone with diabetes who has passed out, call for emergency help. Can You Die from Diabetes? People living with this condition tend to have a shorter life expectancy than those not living with the condition. Fast Facts are not continually updated, and new safety information may emerge after a Fast Fact is published. Hypoglycemia in adults with diabetes mellitus. Hirsch IB. But it can also occur in people who have type 2 diabetes or gestational diabetes. <360mg/dL) blood sugar targets. the unsubscribe link in the e-mail. As per a report circulated by Diabetes UK, the life expectancy of a type 1 diabetes patient can be reduced by 20 years, while the same can be reduced by 10 in the case of a type 1 diabetes patient. According to the literature on these guidelines, understanding the various stages of diabetes can allow physicians and patients to take a more comprehensive approach to preventive care and disease management. Prolonged, unexplained weight loss. Kosiborod M, et al. Sustained, severe hyperglycemia (often >800 mg/dL) causes a hyperosmolar hyperglycemic state (HHS, also known as hyperosmolar nonketotic hyperglycemia), associated with thirst, dry mouth, lethargy, and coma. You'll soon start receiving the latest Mayo Clinic health information you requested in your inbox. Wheezing. (2018). Continuous glucose monitors are devices that use a small sensor inserted underneath the skin to track trends in blood sugar levels and send the information to a wireless device, such as a smart phone. Excessive fatigue and sleep The person may begin to sleep the majority of the day and night as metabolism slows and the decline in food and water intake contribute to dehydration. Weight loss. Type 2 diabetes is a serious condition that can lead to life threatening complications. Source(s): Reverse Any Diabetes Easily : Source(s): The Complete Diabetes Solution : Treating diabetes is best carried out during the early stages of the disease when the consequences can still be controlled and minimized. Treatment of type 2 diabetes includes tracking a persons blood sugar levels, which helps them identify peaks and address the cause. Distribution of Adults in need of palliative care The difference between palliative care and hospice Unlike hospice, a person can receive palliative care at any age, and you do not need to be in the terminal phase of High dose steroids and diabetes. Can diet help improve depression symptoms? Ford-Dunn S, Smith A, Quin J. There are a number of reasons for this, including medication side effects, constipation and the tumour itself. Authors Affiliations: University of Minnesota Medical School (EJ, DAR) & Fairview Health Services (DAR), Minneapolis, MN. Loss of consciousness. Tight glycemic control only benefits patients (e.g., prevents long-term complications such as diabetic retinopathy and nephropathy) with prognoses of years. It is important to discuss your concerns and fears with those around you, both your family and health care providers. An approach to diabetes mellitus in hospice and palliative medicine.J Palliat Med. Advertising revenue supports our not-for-profit mission. If you have symptoms of high or low blood sugar and you think you might pass out, call 911 or your local emergency number. This is a condition in which the blood sugar is as high as 600 mg/d: or 33.3 mmol per liter. Our experts continually monitor the health and wellness space, and we update our articles when new information becomes available. That means they don't have warning symptoms that signal a drop in blood sugar. Palliat Med. Not all these signs and symptoms will occur with every person nor will they occur in any particular sequence. Among people with Type 1 diabetes, which usually develops in childhood, 3,300 died in 2012, compared to the 1,440 expected among the same number of the general population. Why Are So Many Kids Dying From Undiagnosed Type 1 Diabetes? When I put people on a restricted diet, I can get an estimate of how vigorously theyre pursuing it by the presence of ketones in the urine, says Gerald Bernstein, MD, an endocrinologist and coordinator of the Friedman Diabetes Program at Lenox Hill Hospital in New York City. The first stage, known as clinical death, occurs when a person's heart stops beating. Being aware of how high blood sugar can go before death, the next concern is to figure out the last stages of diabetes before death. There may also be a genetic factor to diabetes, which means that people with family members living with the condition may be more likely to develop it. Often, high dose corticosteroids such as dexamethasone are prescribed to relieve pain or pressure from tumours in people towards the end stages of life. If you go into a diabetic coma, you're alive but you can't wake up or respond purposefully to sights, sounds or other types of stimulation. According to the National Institute of Diabetes and Digestive and Kidney Diseases (NIDDK), several diabetes-related health problems can occur, reducing a persons life expectancy and quality of life. Start by following your diabetes treatment plan. We link primary sources including studies, scientific references, and statistics within each article and also list them in the resources section at the bottom of our articles. Keep these tips in mind: Consider a continuous glucose monitor, especially if you have trouble maintaining stable blood sugar levels or you don't feel symptoms of low blood sugar (hypoglycemia unawareness). Recognize the signs and symptoms of hypoglycemia early, because if untreated, hypoglycemia can lead to: Seizures. However, improvement in diabetes care in recent decades indicates that people with type 1 diabetes are now living significantly longer. New research suggests that a three meals per day and not a six meals per day approach brings more benefits to people with type 2 diabetes. Hyperglycemia (high blood glucose). Hyperglycemia, sustained for several days, can cause an osmotic diuresis leading to dehydration, thirst, and polyuria. Symptoms can take you by surprise, coming on in just 24 hours or less. 2006; 32(3):275-86. You can learn more about how we ensure our content is accurate and current by reading our. If we combine this information with your protected The effects of diabetes on the blood vessels and nerves that control the heart make it more likely that someone with diabetes will have other health conditions that raise the risk of heart disease, such as high blood pressure, high triglycerides, and high cholesterol. Health care providers should always exercise their own independent clinical judgment and consult other relevant and up-to-date experts and resources. Managing diabetes. We found that the guidelines are less stringent in palliative care, and it was not so important to avoid long term complications for her husband. McCoubrie R, Jeffrey D, Paton C, Dawes L. Managing diabetes mellitus in patients with advanced cancer: a case note audit and guidelines. If it's not treated, it can lead to a diabetic coma. A continuous glucose monitor, on the left, is a device that measures blood sugar every few minutes using a sensor inserted under the skin. Diabetic ketoacidosis is one of the most serious complications of diabetes. Heart attack symptoms may appear suddenly or be subtle, with only mild pain and discomfort. Other factors, like having a sibling or close relative with type 1 diabetes, can also increase disease risk. Copy-edited by Sean Marks in September 2015. Glucose checks should occur as infrequently as feasible: for patients at low risk for hyper- or hypoglycemia (e.g. Results of a 30 year study by the University of Pittsburgh, published in 2012, noted that people with type 1 diabetes born after 1965 had a life expectancy of 69 years. High blood sugar (hyperglycemia) If your blood sugar level is too high, you may experience: Increased thirst Frequent urination Fatigue Nausea and vomiting Shortness of breath Stomach pain Fruity breath odor A very dry mouth A rapid heartbeat Low blood sugar (hypoglycemia) Signs and symptoms of a low blood sugar level may include: Shakiness or nervousness Anxiety Fatigue Weakness Sweating Hunger Nausea Dizziness or light-headedness Difficulty speaking Confusion Some people, especially those who've had diabetes for a long time, develop a condition known as hypoglycemia unawareness and won't have the warning signs that signal a drop in blood sugar. A study from 2019 found that microvascular complications from diabetes, like nephropathy, increase risk for cardiovascular events and death in people with type 1. Diabetes can make it more likely for a person to develop other health conditions, such as kidney and heart disease, high blood pressure, and high cholesterol. The following medical conditions can cause a diabetic coma: Diabetic hyperosmolar syndrome. information and will only use or disclose that information as set forth in our notice of The idea of a diabetic coma can be scary, but you can take steps to help prevent it. While theres no cure for diabetes, it can be managed through the appropriate treatment, which may include medications, dietary changes, and lifestyle interventions. An insulin pump, attached to the pocket, is a device thats worn outside of the body with a tube that connects the reservoir of insulin to a catheter inserted under the skin of the abdomen. There is no clear consensus about blood sugar targets, although the goal is clear: keep blood glucose levels low enough to prevent osmotic symptoms while minimizing the risk of hypoglycemia. When Can You Stop Taking Diabetes Medication? Was this ok, she asked? The two types are nonproliferative and proliferative. As blood sugar levels remain high, damage can occur within the vascular system, leading to potential complications like: While end-stage diabetes isnt a commonly used term, diabetes can lead to whats known as end-stage diabetic complications, or advanced complications. Anyone who has diabetes is at risk of a diabetic coma, but the following factors can increase the risk: If it is not treated, a diabetic coma can lead to permanent brain damage and death. Many treatments are available for type 2 diabetes, but it may not be clear to you why your doctor recommends one over another. Insel RA, et al. Explore the Fast Facts on your mobile device. Factors credited include better control of blood pressure and blood sugar, as well as a decrease in the number of smokers. It may be one of the few health-related activities they can maintain control and mastery over. Continue reading >>, People with type 2 diabetes are at increased risk of many serious health problems, including heart attack, stroke, vision loss, and amputation. Many families report that the doctor told us he [the patient] only had so much time left, and hes lived much longer than that. The National Diabetes Audit, which covers England and Wales, found diabetics have a 73 per cent greater risk of being admitted to hospital for heart failure compared with the rest of the population. It can also be helpful to connect with others who understand what living with type 2 diabetes is like. ncbi.nlm.nih.gov/pmc/articles/PMC5321245/, niddk.nih.gov/health-information/diabetes/overview/what-is-diabetes/prediabetes-insulin-resistance, https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6260731/, niddk.nih.gov/health-information/diabetes/overview/managing-diabetes, Finding the Best Type 2 Diabetes Treatment: Factors to Consider, 11 Things to Ask Your Doctor After You Start a New Diabetes Treatment, Important Diabetes Tips From Experts (Who Are Also Diabetic). Fundamentally DKA is caused by a lack of insulin (as opposed to the hyperglycemia itself) and is characterized by acidosis. The management of diabetes in terminal illness related to cancer. This, of course, can be controlled by adopting a healthy lifestyle and controlling your blood sugar levels. Accessed July 11, 2022. Death is never a pleasant subject but it's human nature to want to know 'how long can I expect to live'. American Diabetes Association. Are you sure you want to delete this answer? The warning signs of hypoglycemia include: confusion, dizziness, and nausea feeling hungry feeling shaky, nervous, irritable or anxious sweating, chills, and pale, clammy skin rapid heartbeat weakness and tiredness tingling in the mouth area coma or loss of consciousness weight loss if hypoglycemia persists Symptoms you can experience with end-stage COPD include: 1 . In April 2014, the Centers for Disease Control and Prevention (CDC) reported that major diabetes-related complicationsincluding lower limb amputation, late-stage kidney failure, heart attack, stroke, and death from high blood sugarhave declined significantly among adults in the United States over the past 20 years. Continue reading >>, What to expect and how to respond to the natural dying process No one can predict the moment of death. Using theCox proportional hazards model, the following risk factors of mortality asassessed at baseline were identified: nephropathy (at least macroproteinuria),hazard ratio 3.8 (95% confidence interval 2.6-5.6); smoking, 1.9 (1.4-2.6);diabetes duration, 1.5 (1.2-1.8) for a difference of 10 years; serum cholesterol,1.1 (1.0-1.2) for a difference of 1 mmol/l; lower social status, 1.4 (1.1-1.8)for a difference of 1 out of 3 levels; age, 1.3 (1.1-1.6) for a difference of 10 years; male sex, 1.4 (1.1-1.9); systolic blood pressure, 1.1 (1-1.2) for adifference of 10 mmHg. How long can people with diabetes expect to live? Quinn K, Hudson P, Dunning T. Diabetes management in patients receiving palliative care. However, there are still many healthful and tasty food options, Medical News Today has strict sourcing guidelines and draws only from peer-reviewed studies, academic research institutions, and medical journals and associations. The state took Jakob Blodgett into its custody on Dec. 9 after his father, Richard Blodgett, was . If your blood sugar level goes above 600 milligrams per deciliter (mg/dL), or 33.3 millimoles per liter (mmol/L), the condition is called diabetic hyperosmolar syndrome. Every minute that the person is not treated is [another] minute closer to death, says Joel Zonszein, MD, professor of medicine at Albert Einstein College of Medicine in New York City. We hope this article on palliative care for those with severe illness, and those who are terminally ill, will help family members and patients alike. Vegetables are rich in vitamins, minerals, antioxidants, and plant compounds. Higher blood sugars over a period of time allow diabetic complications to set in, su In 2015, the ADA released a joint statement with the JDRF and Endocrine Society outlining the various stages of type 1 diabetes. In people with diabetes, advanced complications, like end-stage renal disease, occur after many years of living with diabetes. When blood sugar levels rise, glucose attaches to the hemoglobin and converts it to hemoglobin A1C. However, life expectancy with diabetes depends on many factors, and various strategies can help prevent it from shortening a persons life. 2022; doi.org/10.2337/dc22-S006. This stage is called preclinical Alzheimer's disease, and it's usually identified only in research settings. Dr Bob Young, clinical lead for the audit and a consultant diabetologist at Salford Royal Hospital, said: This audit is a wake-up call. Diabetes and life expectancy: What effect does type 2 diabetes have? Amongst those who are currently 65 years old, the average man can expect to live until 83 years old and the average woman to live until 85 years old. It develops when the body can no longer respond to insulin correctly. HHS typically occurs in insulin-dependent (type 2) diabetics. Death is a natural process as the body begins shutting down. Hypoglycemia from insulin or oral hypoglycemics causes diaphoresis, anxiety/panic, tremors, weakness, palpitations, seizure, coma. See additional information. If it's not treated, a diabetic coma can result in death. You may notice their: Eyes tear or glaze . These complications of both type 1 and type 2 diabetes typically appear only after someone has had diabetes for years or even decades and fortunately, their development is not inevitable. 7 Ways You Can Help Someone Living with Type 2 Diabetes, How to explain diabetes to someone who doesnt have it, Diabetes Warning Signs: Learn About the Signs to Be Prepared, Diabetes Warning Signs Discover the Risks and Signs of Diabetes and Be Prepared, Too much sitting linked to heart disease, diabetes, premature death, Incidence of End-Stage Renal Disease Attributed to Diabetes Among Persons with Diagnosed Diabetes United States and Puerto Rico, 20002014, How to Lose Weight and Prevent Diabetes Before Its Too Late, Why eating late at night will do more than just make you gain weight - it also raises risk of diabetes and heart disease, study reveals, Sixty-five people a day in UK die early from diabetes complications study, What Its Like to Watch People Die From Your Disease, Research Shows This One Plant Can Kill Cancer Cells & Treat Diabetes, Pumpkin Seeds Can Help Kill Cancer Cells, Fight Diabetes And Improve Your Eyesight, 20 Things to Remember If Your Loved One Has Type 1 Diabetes, 12 Dos and Donts for Supporting a Loved One with Diabetes, Communicating With A Loved One Who Isn't Managing Their Diabetes, Are you diabetic or could you be pre diabetic World Diabetes Day 2017, Signs of High Blood Sugar: Stop It Before Diabetes Takes Over, Diabetes: How to spot the signs before its too late. Additional strategies for maintaining optimal health while living with diabetes include: Learn more about type 2 diabetes treatments. Strong evidence suggests that good control of blood glucose and other risk factors, such as high blood pressure and high LDL cholesterol, can prevent or delay the onset of long-term complications and may reduce the severity of complications that do occur. This can often be a difficult question to answer. The audit is managed by the Health and Social Care Information Centre in partnership with Diabetes UK. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited. End-of-life symptoms 1. Such an approach will require an early determination of diabetic symptoms. During this stage, the symptoms of type 1 diabetes may include: In 2018, the AACE created the dysglycemia-based chronic disease (DBCD) multimorbidity care model. This affects you in . Review/update the To find the best HbA1c test kits, we looked at cost, website use, and follow-up, Insulin syringes come in multiple sizes to deliver different doses of insulin. If youve been diagnosed with diabetes, its important to stay educated about your condition so that you can more easily manage it in the long-term. Is the ketogenic diet right for autoimmune conditions? What Race Has The Highest Incidence Of Diabetes. For example, if the blood sugar is too high, the you may experience tiredness, abdominal pain, shortness of breath, increased urination, increased thirst, a rapid heart rate, a dry mouth, and a fruity smell to your breath. This stage, defined as insulin resistance, is where muscle, fat, and liver cells become resistant to insulin and have trouble bringing glucose into the cell. For patients with erratic oral intake, short-acting insulin should only be used when eating, with conservative doses. Its important to note that type 1 diabetes is an autoimmune disease where the immune system attacks and destroys beta cells in the pancreas, which are responsible for producing insulin. This section is intended only as a guide. In this stage, their symptoms become severe. Please if anyone has any information I really need it now. When to see a doctor A diabetic coma is a medical emergency. If you notice any of the above symptoms in your canine companion, it's time to contact your veterinarian. This may be due to a combination of biological and environmental factors and health inequities that may affect historically marginalized groups. Hence, can you die from diabetes? After Jerry Springer 's family shared that the daytime host had died early Thursday following a "brief illness," PEOPLE has confirmed that Springer's death . Last Stages Of Diabetes Before Death Apr 4, 2018 Early Death Warning As Diabetes Crisis Worsens The National Diabetes Audit, which covers England and Wales, found diabetics have a 73 per cent greater risk of being admitted to hospital for heart failure compared with the rest of the population. Finally, the study shows that reducing hemoglobin A1C (HbA1C) from 9.9% to 7.7% may help a person with type 2 diabetes live an extra 3.4 years. There are two stages of death. Cloudy appearance of the eyes. Symptoms Before developing a diabetic coma, you'll usually experience signs and symptoms of high blood sugar or low blood sugar. Your loved one will still get treatment for pain relief and comfort, but hospice also offers emotional and spiritual support for them as well as you and close family. How soon diabetes was diagnosed, the progress of diabetic complications and whether one has other existing conditions will all contribute to ones life expectancy - regardless of whether the person in question has type 1 or type 2 diabetes. (Diabetic ketoacidosis most often affects people with type 1 diabetes, but there is also type 2 diabetes ketoacidosis.) If you don't start to feel better quickly, or you start to feel worse, get medical care right away. Treatment goals for patients near the end-of-life are to avoid symptomatic hypo- and hyperglycemia and minimize the burdens of diabetes treatment, but not to prevent those long-term complications. Speaking about the final conversation herself, Kate told news.com.au that she and her younger brother had . Use a moistened warm cloth around the mouth and apply balm to the lips to keep them moist and comfortable. Shakiness Sweating Feeling irritated Feeling nervous or anxious Confusion Lightheadedness or dizziness Nausea Fatigue Headache If you have low blood sugar, the American Diabetes Association. Statistical averages do not tell us exactly how long a particular patient has to live; they can only serve as a general Understanding the various stages of both type 1 and type 2 diabetes allows physicians and patients to see the progression of the disease so that treatment and long-term management can be improved. As death approaches, your role is to be present, provide comfort, and reassure your loved one with soothing words and actions that help maintain their comfort and dignity. Accessed July 11, 2022. entertainment, news presenter | 4.8K views, 28 likes, 13 loves, 80 comments, 2 shares, Facebook Watch Videos from GBN Grenada Broadcasting Network: GBN News 28th April 2023 Anchor: Kenroy Baptiste. Dr. Maria Prelipcean explains how they work, risks, and. Accordingly, the official prescribing information should be consulted before any such product is used. The younger a person who receives a type 2 diabetes diagnosis is, the higher the risk that diabetes-linked complications will shorten their lifespan. Centers for Disease Control and Prevention. You won't notice symptoms during this stage, nor will those around you. Swelling of the abdomen, such as edema or ascites. Difficulty swallowing. Diabetic ketoacidosis occurs when your body doesnt produce enough insulin. Diabetic ketoacidosis. https://www.diabetes.org/healthy-living/medication-treatments/insulin-other-injectables/insulin-pumps-relief-and-choice. Expert recommendations have suggested targeting fasting glucose up to 180 mg/dL (1); however some raise the target to 270 and even 360 (5, 6). People who have diabetes cannot regulate their blood sugar levels and if the disease isn't tightly controlled, blood sugar can spike to abnormally high levels, a condition called . Without treatment, these elevated levels can cause long-term damage to the body. Any medical information published on this website is not intended as a substitute for informed medical advice and you should not take any action before consulting with a healthcare professional. health information, we will treat all of that information as protected health This content does not have an English version. After many years with diabetes, especially untreated diabetes, a person can develop end stage renal disease or heart disease. This stage is also called end-stage dementia or advanced dementia. Castro MR (expert opinion). Glycemic targets: Standards of Medical Care in Diabetes 2022. Credit: ABC. And the effects of your disease at the end-stage will be so advanced that they will undeniably affect your day to day activities. If it's not treated, a diabetic coma can result in death. We propose that there are five stages in the progression of diabetes ( Fig. The ER staff will help and get you a social worker so he can afford his medication. Continuous glucose monitors are more expensive than other glucose monitoring methods, but they may help you control your glucose better. While there is little clinical research to guide decision-making, this Fast Fact reviews important considerations and practical recommendations about diabetes care in patients thought to be in their final few months of life. Cardiovascular disease is the leading cause of death among people with diabetes. Tell the emergency personnel that the unconscious person has diabetes. Near the very end of life, the dying person may be physically unable to swallow. Many of us ask the question, How much time is left? If we all lived 2011; 14(1):83-7. A 2020 study also found people living with type 2 diabetes have a longer life expectancy than those with type 1 diabetes. Join now to receive our weekly Fast Facts, PCNOW newsletters and other PCNOW publications by email. What causes a shorter life expectancy in diabetics? About four to six minutes later, brain cells start to die from the loss of . The main symptom is unconsciousness. End-of-Life Stages Timeline When the liver is failing, it can no longer complete these vital tasks. They will usually work with the family to provide care that is more in line with what the family would want for the patient in palliative care. They can benefit people with type 2 diabetes and related conditions, People with diabetes have to restrict carbohydrate intake and moderate blood sugar.

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