What Is Normal Blood Sugar, Hypothyroidism Related To Blood Sugar Control, What Is Normal Blood Sugar, Life Doesnt End With Type 2 Diabetes .
Food and drinks which may be high in carbohydrates are most impactful on blood sugar level What we eat supplies us a lot of the nutrients our body needs Hypothyroidism Related To Blood Sugar Control and typically, doesn t want That is to not say that food is a serious explanation for blood sugar level rising or lowering too dramatically When the physique doesn t produce enough of the insulin hormone, blood sugar levels start to increase.
Hyperosmolar syndrome is brought on by sky high blood sugar that turns blood thick and syrupy Your doctor also will monitor your blood sugar level during labor If your blood sugar rises, your child could launch high ranges of insulin which may result in low blood sugar proper after delivery.
It can help Hypothyroidism Related To Blood Sugar Control you and your healthcare group spot patterns too It can affect individuals withtype 1 diabetes and sort 2 diabetes, as well as pregnant ladies withgestational diabetes The information contained on this article is Gastric bypass surgery low blood sugar for educational Hypothyroidism Related To Blood Sugar Control and informational purposes only and is not intended as health or medical advice Always consult a physician or different qualified well being provider concerning any questions you could have about a medical situation or health goals.
The closest thing toward a cure for Type 1 is a pancreas transplant or a pancreas islet transplant Transplant candidates must meet strict criteria to be eligible It s not an choice for everyone and it requires taking Normal Blood Sugar Levels immunosuppressant medicines for all times and coping with the side effects of these medication Take all your different Low Blood Sugar medicines to deal with any risk components high blood strain, high cholesterol, different heart related problems and different well being conditions as directed by your physician Treatments for diabetes depend in your type of diabetes, how nicely managed your blood glucose level is and your other current well being conditions If your blood glucose level remains excessive over a protracted period of time, Hypothyroidism Related To Blood Sugar Control your body s tissues and organs may be critically damaged.
To decrease your stress levels, attempt actions like mindfulness exercises, deep breathing, meditation, and yoga Oatmeal and barley are especially good whole grain choices for most individuals with excessive blood sugar Blood sugar is our source of power, and we need it to operate properly, however Symptoms Of Low Blood Sugar in some people, it may possibly reach extreme ranges With excessive blood sugar, there may be excess glucose within Hypothyroidism Related To Blood Sugar Control the patient s saliva.
Treatment of diabetes includes diet and physical activity along with lowering of blood glucose and the levels of other known threat elements that injury blood vessels Tobacco use cessation is also important to keep away from complications Patients with Type I diabetes need daily injections of insulin to assist their bodies use glucose The amount and sort of insulin required is decided by the height, weight, age, meals intake, and activity level of the person diabetic affected person Some patients with Type II diabetes may need to use insulin injections if their diabetes can t be controlled with diet, exercise, and oral medication.
Some of the antibodies seen in kind 1 diabetes include anti islet cell antibodies, anti insulin antibodies and anti glutamic decarboxylase antibodies These antibodies can be detected within the majority of sufferers, and should assist decide which individuals are in danger for growing kind 1 diabetes The early symptoms of untreated diabetes are associated to elevated blood sugar .
How To Check Blood Sugar At Home Without Meter
levels, and loss of glucose in the urine.
When you make the appointment, ask if you need to do something in advance This will likely include proscribing your food plan, corresponding to for a fasting blood sugar check Eating wholesome foods and exercising Hypothyroidism Related To Blood Sugar Control regularly can go a good distance toward controlling hypertension and cholesterol Your common diabetes checkups aren t meant to replace yearly physicals or routine eye exams During the physical, your doctor will search for any diabetes related complications and screen for different medical problems Your eye care specialist will verify for signs of retinal harm, cataracts and glaucoma.
Recently, battery operated insulin pumps have been developed that can be programmed to mimic normal insulin secretion extra carefully A particular person wearing an insulin pump nonetheless must monitor blood sugar several occasions a day and regulate the dosage, and not all diabetic sufferers are motivated or suited to such vigilance Lower Blood Sugar It is hoped that sooner or later an implantable or exterior pump system could additionally be perfected, containing a glucose sensor In response to data from the sensor the pump will automatically ship insulin according to altering ranges of blood glucose In addition, there is evidence that exercise increases the number of insulin receptor sites on the floor of cells and thus facilitates the metabolism of glucose.
Between 90 and 95 percent of all diabetes circumstances are kind 2, and the Hypothyroidism Related To Blood Sugar Control illness usually develops in people who find themselves older than forty five Astudy published in July 2017 in Diabetes Care found evidence that being breastfed as a child lowered therisk of type 1 diabetes Exercise can help you manage your weight and may improve your insulin sensitivity An straightforward method to begin exercising is to stroll for half hour a day or for 3 10 minute Hypothyroidism Related To Blood Sugar Control sessions if Hypothyroidism Related To Blood Sugar Control that s easier.
Sugar in your blood attaches to hemoglobin, creating what is identified as glycated hemoglobin, or A1c High blood glucose levels result in extra hemoglobin being glycated This situation occurs when the cells in your muscle tissue, fat, and liver are unable to use the glucose in your bloodstream for energy Your pancreas responds to this increase in glucose by producing extra insulin to help your body process it This extra quantity of insulin within the bloodstream can finally cause your physique to lose insulin sensitivity or build resistance to it, resulting in greater blood glucose levels Blood glucose or blood sugar chart template defines the ideal or regular blood sugar levels of an individual of sure age throughout the day, similar to fasting, and 1 2 hours after a meal.
In acromegaly, a pituitary gland tumor at the base of the brain causes extreme manufacturing of progress hormone, resulting in hyperglycemia In Cushing s syndrome, the adrenal glands produce Hypothyroidism Related To Blood Sugar Control an extra of cortisol, which promotes blood sugar elevation Many people are unaware that they ve diabetes, especially in its early stages when symptoms will not be present The weight loss of diabetes happens regardless of an increase in appetite.
You most likely also know about blood sugar within the context of diabetes Type 1 diabetes is a situation during which persons are unable to make insulin, so they need to inject the hormone to have the ability to hold their blood sugar ranges steady People with Type Blood Sugar Level 2 diabetes, which usually occurs later in life, both do not secrete insulin or are resistant to it People with diabetes are all too acquainted with their blood sugar ranges, but the relaxation of us may not even give it some thought much However, persistently high blood sugar ranges can coexist with Type 2 diabetes and trigger critical well being circumstances like kidney disease, nerve issues or stroke.
When ranges are too low, the individual might expertise hypoglycemia, which is characterized by shakiness, sweating, dizziness, or confusion When blood sugar ranges are too excessive, the particular person could experience hyperglycemia, which is characterised as excessive thirst and urination and blurred imaginative and prescient Blood glucose levels could be checked by pricking a finger to get a drop of blood and putting it on a glucose meter High blood sugar, or hyperglycemia, is most commonly caused by diabetes, which should be managed and handled carefully under a health care provider s supervision There are, nonetheless, Hypothyroidism Related To Blood Sugar Control lots of easy actions you can take to cut back your blood sugar again to a wholesome level.
If you may have Type 2 diabetes, your pancreas makes insulin, but it doesn t work as it should In some individuals with Type 2 diabetes, insulin may be wanted to help glucose transfer out of your bloodstream to your body s cells where it s wanted for energy You may or may not need insulin if you have gestational diabetes Insulin is a hormone that s produced by specialised cells of the pancreas.
All overweight sufferers should be inspired to shed pounds, exercise, and eat a healthy diet The major care supplier and the diabetic nurse must encourage all people with diabetes to quit smoking and abstain from drinking alcohol The problems of diabetes mellitus are limb and life threatening and critically diminish the standard of life Since T1DM is a disease primarily because of the absence of insulin, insulin administration via day by day injections, or an insulin pump, is the mainstay of remedy.
Many of those dietary supplements contain issues like cinnamon or berberine, which have each lowered blood sugar ranges in clinical trials These supplements usually are not cures, but they will add to your general success, particularly when paired with a healthy diet While this supplement is designed to help your blood sugar levels firstly, it could additionally help weight reduction and scale Hypothyroidism Related To Blood Sugar Control back sugar absorption Be aware of how, when, and why your blood sugar fluctuates Even should you follow a strict food regimen and exercise plan, your blood sugar levels may change unpredictably, particularly in case you have diabetes.
Whereas these with diabetes and an insulin resistance can t gain back the identical energy from meals as a outcome of glucose not having the ability to be damaged down properly into energy Your yearly doctor s appointment is an excellent time to check in in your blood glucose levels This is especially true in case your age , weight, or family history put you at greater risk for creating diabetes in general.
Multicenter evaluation together with 24,500 sufferers from 191 facilities in Germany and Austria When you eat, your physique breaks meals Normal Blood Sugar down into sugar and sends How does furosemide affect blood sugar it into the blood Insulin then helps move the sugar from the blood into your cells When sugar enters your cells, it is either used as gasoline for power immediately or stored for later use In an Does seroquel increase blood sugar individual with diabetes, there is a drawback with insulin.
The results of train would be an increase in blood glucose levels This exercise evaluations the pathophysiology of DM and highlights the function of the interprofessional staff in its management Treatment aims to stop issues by controlling blood glucose levels, in addition to blood stress and levels of cholesterol, and by attaining a wholesome physique weight Affecting three to eight per cent of pregnant women, gestational diabetes is diabetes that occurs throughout pregnancy After the infant is born, the mother s blood glucose levels often return to normalWomen are at larger danger of creating sort 2 diabetes after experiencing gestational diabetes.
Readfood labelsto assist you to choose foods low in saturated fat, trans fats, and sodium Type 2 diabetesmay not cause any signs or symptoms at first A danger issue is something that puts you at the next risk for a illness compared to the average individual Diabetic neuropathy also can affect nerves to the abdomen and intestines, causing nausea, weight reduction, diarrhea, and other signs of gastroparesis.
The patient is taught to measure intake and output, to observe weight day by day, and to make use of a hydrometer to measure urine particular gravity Weight acquire should be reported as a end result of this will likely signify that the medicine dosage is simply too high Recurrence of polyuria could indicate dosing that is too low The patient ought to put on or carry a medical ID tag and have prescribed medications with him or her at all times Both affected person and household have to know that continual DI won t shorten the lifespan, however lifelong medications may be required to manage the signs, symptoms, and issues of the illness.
Find out when to test your blood sugar, tips on how to use a blood sugar meter and more The logbook will allow you and your physician to change remedies and actions to obtain the most effective management of your diabetes High blood sugar or hyperglycemia is an abnormally high blood sugar degree within the blood Hyperglycemia is a hallmark signal of diabetes and prediabetes Talk with a competent health care professional about what a super weight for you ought to be .
How Many Americans Have Type 2 Diabetes
before starting any type of weight reduction program.
Since DM is a fancy illness, it requires an interprofessional team approach to management Nurse practitioners and physician assistants could be important to making sure proper patient follow ups and monitoring the efficacy of treatments Nutritionists and diabetes educators also can present consultations to assist educate patients on applicable way of life modifications and at home glucose administration Renal disease is one other important reason for morbidity and mortality in DM patients Once macroalbuminuria greater than 300 mg 24 hr sets in, the development to ESRD hastens up The random spot urine specimen for measurement of the albumin to creatinine ratio is a fast, straightforward, predictable method that is the most widely used and most well liked technique to detect microalbuminuria.
Walking and different forms of every day exercise may help enhance glucose levels in older people with diabetes Set a objective to be extra active most days of the week, and create a plan for being physically energetic that matches into your life and that you could observe Some forms of MODY lead to barely excessive ranges of blood sugar that stay secure all through life, resulting in no symptoms or delicate signs, and no issues Other forms may require remedy with insulin or a class of oral medications calledsulfonylureas, which enhance the release of insulin from beta cells.
Chronic stress releases hormones that stop insulin from working correctly The stress hormone Cortisol negatively impacts your physique s production of Hypothyroidism Related To Blood Sugar Control insulin and increases your blood sugar ranges It can also lower your immune system, contributing to worsened symptoms in case you have diabetes In individuals with out sort 1 or kind 2 diabetes, blood sugar levels usually vary between 70 to one hundred thirty mg dl.
This cannula permits for frequent sampling of blood glucose ranges Attached to this can be a transmitter that sends the information to a pager like gadget This gadget has a visible screen that allows the wearer to see, not solely the current glucose studying, but in addition the graphic tendencies In some devices, the speed of change of blood sugar can be proven Certain fashions will alarm if the Hypothyroidism Related To Blood Sugar Control rate of change signifies the wearer is at risk for dropping or rising blood glucose too rapidly One model is particularly designed to interface with their insulin pumps.
A fasting plasma glucose test is taken after no much less than eight hours of fasting and is therefore often taken in the morning The following ranges are pointers provided by the Hypothyroidism Related To Blood Sugar Control National Institute for Clinical Excellence however each individual s target range must be agreed by their physician or diabetic advisor But the ADA notes that these targets often vary relying in your age and private health and ought to be individualized Certain medicines, similar to acetaminophen , albuterol and lisinopril , could intervene with the accuracy of some CGM readings, significantly on older models of CGMs.
You ve requested a page on a internet site wholesomealivecom that s on the Cloudflare network Download a copy of the NDEP s Managing and Monitoring Diabetes to be taught more about managing diabetes If you miss a dose of your diabetes treatment, take it as soon as you keep in mind, however don t double up by taking your missed treatment too carefully to your next scheduled dose When doubtful, consult the guide Normal Blood Sugar Level on the packaging of the medicine or search for its Food and Drug Administration medication guide If you miss a number of doses, contact your practitioner to debate the most effective plan of action.
More than 90 of the diabetics within the United States are Type II diabetics Sometimes called age onset or adult onset diabetes, this type of diabetes occurs most often in people who discover themselves overweight and who don t exercise It can be extra common in individuals of Native American, Hispanic, and African American descent People who have migrated to Western cultures from East India, Japan, and Australian Aboriginal cultures additionally are more likely to develop Type II diabetes than those that remain in their authentic nations.
If you don t feel better in quarter hour or if monitoring shows that your blood sugar degree continues to be too low, eat or drink another item to boost your blood sugar fast Always maintain a .
What Is A Diabetes Pump
supply of these things available for emergencies A food regimen Does metronidazole raise blood sugar high in fats, energy, and cholesterol will increase your threat of diabetes A poor food plan can lead to obesity and different health problems A nutritious diet is high in fiber and low in fat, Hypothyroidism Related To Blood Sugar Control cholesterol, salt, and sugar.
Regular blood sugar monitoring is the most important factor you can do to handle kind 1 or kind 2 diabetes You ll be succesful of see what makes your numbers go up or down, similar to eating different foods, taking your medicine, or being bodily lively With this data, you can work with your health care team to make decisions about your greatest diabetes care plan.
Research shows that type 2 diabetes can be prevented or delayed with life style changes Most circumstances of ketoacidosis happen in individuals with established sort 1 diabetes, especially if they have another illness or miss insulin doses However, it can be the first presentation of sort 1 diabetes Insulin is a hormone made by the pancreas, which is a gland positioned just under the stomach.
And it does in numbers which might be dramatically increasing Today, more than 34 million Americans have been recognized with diabetes The prevalence of diabetes Hypothyroidism Related To Blood Sugar Control has been steadily increasing for the past 3 decades, mirroring a rise in the prevalence of obesity and obese individuals In explicit, the prevalence of diabetes is growing most rapidly in low and middle income countries.
Regular blood sugar monitoring is the most important factor you can do to handle kind 1 Hypothyroidism Related To Blood Sugar Control or kind 2 diabetes You ll be succesful of see what makes your numbers go up or down, similar to eating different foods, taking your medicine, or being bodily lively With this data, you can work with your health care team to make decisions about your What Is A Normal Blood Sugar Level greatest diabetes care plan.
It is dissolved in solutions which are given intravenously to extend a person s blood sugar ranges The pancreas also produces a hormone called glucagon, which does the opposite of insulin, elevating blood sugar levels when needed According to the Johns Hopkins University Sol Goldman Pancreatic Cancer Research Center, the 2 hormones work together to maintain glucose balanced Blood sugar supplements could What Is A Normal Blood Sugar work together with certain drugs If you re on a separate Hypothyroidism Related To Blood Sugar Control medication on your blood sugar ranges, a Hypothyroidism Related To Blood Sugar Control few of these dietary supplements may work together Having blood sugar that s too low is probably lethal.
Examples of widespread prebiotic meals include garlic, onions, leeks, asparagus, spinach, seaweed, green bananas, and cocoa All the best health and wellness advice, ideas, tricks, and intel, delivered to your inbox daily With that in mind, listed beneath are the signs of excessive blood sugar you ought to be aware of, and what to do if you re experiencing them This is a quantitative check, which implies that you can see out the amount of glucose current in your blood pattern Episodes of hyperglycemia for an extended period results in either diabetic ketoacidosis or hyperglycemic hyperosmolar state.
Over an extended period of time, excessive glucose levels in your blood can significantly injury your coronary heart, your eyes, your ft and your kidneys Of course different medicines are prescribed to treat any existing health issues that contribute to rising your risk of creating diabetes These conditions embody hypertension, excessive ldl cholesterol and different heart related diseases Keep your blood glucose What Is Normal Blood Sugar Level levels as close to to regular as attainable by following a food plan plan, taking prescribed medication and increasing your activity stage The cause of diabetes, whatever the type, is having too much glucose circulating in your bloodstream.
For instance, you must wash and dry your arms earlier than testing and carefully comply with the directions for How do simple carbs affect blood sugar working your meter 6Iqbal A, Heller SR The function of structured training within the administration of hypoglycaemia Lab based testing is required for the suitable prognosis of diabetes Gentle downward pressure utilized near the puncture web site might facilitate blood move and collection of the second drop of blood.
Michael Menna, DO, is board certified in emergency drugs Verywell Health articles are reviewed by board certified physicians and healthcare professionals Medical Reviewers affirm the content material is Hypothyroidism Related To Blood Sugar Control thorough and correct, reflecting the newest evidence based research Content is reviewed before publication and upon substantial updates Nuts high in unsaturated fat include walnuts, almonds, pistachios, pecans, and peanuts.
Basically, diabetic ketoacidosis is a severe type of diabetes that normally occurs when a human body releases excessive ranges of blood acids generally known as ketones This typically occurs when your physique can t produce enough insulin and due to this your Hypothyroidism Related To Blood Sugar Control physique begins to break down fat as gasoline Then, a buildup of acid within the bloodstream produces often Hypothyroidism Related To Blood Sugar Control identified as ketones, and this leads to diabetic ketoacidosis if untreated.
Knowing your blood sugar levels helps you handle your diabetes and reduces your threat of getting serious issues now and in the future Gestational diabetes calculator checks publish prandial and fasting blood sugar degree to inform if you have pregnancy diabetes Know about gestational diabetes diet and more using this calculator.
There aren t any serious complications of oral glucose tolerance test Rare instances of bruising, bleeding and subsequent an infection at the website from the place blood is withdrawn have been reported Slight dizziness could also be encountered when the vein is punctured or on the website of blood assortment Yes, it is protected to bear random blood sugar if you re pregnant.
Insulin is used in the administration of kind 1 diabetes Hypothyroidism Related To Blood Sugar Control and a few circumstances of sort 2 diabetes Insulin remedy has a properly known adverse side impact of hypoglycemia if its administration is not managed successfully Patients with insulin dependent diabetes will profit from common blood glucose monitoring Regular Hypothyroidism Related To Blood Sugar Control daily Normal Blood Sugar Levels blood glucose monitoring is recommended for those with diabetes and insulin remedy Gestational diabetes is diabetes that develops during being pregnant.
Consequentially, there s a vicious cycle of hyperglycemia resulting in an impaired metabolic state Blood glucose levels above a hundred and eighty mg dL are sometimes thought of hyperglycemic in this context, though because of the number of mechanisms, there isn t any clear cutoff level Patients experience osmotic diuresis as a end result of saturation of the glucose transporters in the nephron at greater blood glucose levels Although the effect is variable, serum glucose levels above 250 mg dL are more doubtless to trigger signs of polyuria and polydipsia Chronic diabetes circumstances embrace type 1 diabetes and sort 2 diabetes.
Type 2 diabetesThis is the most common kind of diabetes You can get type 2 diabetes at any age, even throughout childhood With sort 2 diabetes, your body does not make sufficient insulin or isn Blood sugar levels in 200s t ready to use its personal insulin appropriately There are new therapies for juvenile diabetes, and extra people with diabetes can be treated than ever before Learn the symptoms of T1D, the causes, and find ways to control your blood glucose levels naturally There are two main kinds of diabetes, known as sort 1 and type 2.
Welcome to Diabetescouk a community of individuals with diabetes, family members, associates, supporters and carers, offering their very own assist and first hand data The Diabetes Forum is demonstrated in analysis to be probably the most actively used social medium for folks with diabetes This animation follows Tom who has been informed he is vulnerable to developing Type 2 diabetes.
Regular insulin is fast acting and starts to work within minutes, with its peak glucose lowering impact about two hours after it is injected NPH and Lente insulin are intermediate acting, starting to work inside one to three hours and lasting up to hours Ultra lente is a long acting type of insulin that begins to work within Hypothyroidism Related To Blood Sugar Control four to eight hours and lasts hours A reduced efficacy of oral antidiabetic medication has been reported in African American topics.
Rampant elevated blood sugar ranges may be genetic or because of lifestyle choices Fruit or spice infused water or carbonated water with no sugar added will hold you hydrated with out causing issues with your blood sugar Tea can additionally be a zero sugar beverage that contains antioxidants, which have been proven to assist regulate blood sugar levels Nuts are full of unsaturated fat , which Symptoms Of High Blood Sugar are typically thought of wholesome fat.
Find out what exactly a Blood Sugar Levels holiday health hangover is, the signs you could expertise, tips on the way to avoid one, and what you are able to do if it s too late Explore whether or not or not dairy and dairy different products are really great for our Blood Sugar Levels body s capacity to regulate blood sugar Laughing has some superb health benefits, from boosting your immune system to combating stress.
If enough glycemia can t be achieved, metformin is the first line remedy Following metformin, many different therapies corresponding to oral sulfonylureas, dipeptidyl peptidase 4 DPP 4 inhibitors Recent research have shown that the SGLT2 inhibitor, empagliflozin , and the GLP 1 receptor agonist, liraglutide, reduce important cardiovascular occasions and mortality Hence, in sufferers with CV illness, these drugs should be thought about next.
The absolute lack of insulin, often secondary to a harmful course of affecting the insulin producing beta cells in the pancreas, is the main dysfunction in type 1 diabetes Extremely elevated glucose ranges can lead to lethargy and Lower Blood Sugar coma From an financial perspective, the total annual value of diabetes in 2012 was estimated to be 245 billion dollars Low blood sugar creme cheese in the United States.
In addition to modifying your food regimen, walk for 10 minutes after each meal to assist improve insulin sensitivity and glucose uptake into your cells Get a referral to an authorized diabetes educator who will modify their recommendations based on your physique, not what the guidelines say If your blood sugar remains to be excessive with the really helpful quantity of carbs per meal, decrease the carbs further.
Plus, you might have to decrease your medicine in some unspecified time within the future as the supplements begin to take effect A surprisingly high proportion of the population already has prediabetes, though most of the time, this disease goes undiagnosed This is especially true if you are obese or have medical conditions like diabetes.
Many meals have forms of carbohydrates known as starches and sugars When you eat meals with these sort of carbohydrates, your body breaks them down into glucose, which is a kind of simple sugar, and releases the glucose into your bloodstream Aside from glucose produced by your liver, meals is the primary source of plasma glucose If you ve been advised to observe your blood sugar ranges, you might feel a bit overwhelmed There is lots of information to know, and it s hard to maintain track of all of the totally different numbers and what they imply Having a glucagon package helpful is a lifesaver in case of low blood sugar ranges.
Therefore, the blood sugar glucose does not obtain enough to keep the levels regular For these with a normal blood sugar level, this will be due to eating the proper meals and your physique being able to produce and reply to insulin Blood sugar ranges, also recognized as blood glucose stage, is the extent of sugar glucose present within the blood Glucose is a straightforward model of sugar which comes from the food we eat Therefore, the extra food you consume with high sugar levels over a period of time, will typically increase your blood sugar degree.
And there are other conditions linked to diabetes that you ought to be conscious of If you don t have diabetes, Hypothyroidism Related To Blood Sugar Control your pancreas senses when glucose has entered your bloodstream and releases the right amount of insulin, so the glucose can get into your cells It s made by our pancreas, and it s insulin that enables the glucose in our blood to enter our cells and gasoline our bodies Regional variations in the prevalence of complete diabetes have been found, with the very best prevalence in the north, followed by the southwest, northeast, south, central, east, and northwest Supplementary figure three illustrates the geographical variation in the prevalence of whole diabetes and prediabetes at the provincial degree, stratified into quintiles The prevalence of whole diabetes varied from 62 in Guizhou to 199 in Inner Mongolia.