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Andrew Skurka Adventurer, Guide, Speaker, Writer
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Choosing a good backcountry campsite — or, in my parlance, “five-star” — is a critical but overlooked backpacking skill. Campsite selection isat least asimportant to mysleepquality as mychoice of tent, bag, and pad. Even with appropriategear, it’s difficult to sleep well in a campsite that:

Unless I’m required to stay in such locations, I try hard to avoid them. Instead, I seek out five-star campsites that are more conducive to a quality night of sleep and that enhance my backpacking experience.

Solo backpackers and small groups will have an easier time in following this advice. But I have offer at least a few tips that would be relevant for larger groups like the Boy Scouts (BSA).

In this four-part series I explain the characteristics of a five-campsite (on two levels: zone and spot), discuss pertinent regulations and Leave No Trace ethics, and provide examples of horrible camping areas that should be avoided.

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Tags: Five-star backpacking campsites

In the previous two posts I discussed the ideal features of backpacking campsites, on both a zone- and spot-level. There are many of them, probably too many to remember. So in this final installment I will discussfour classically bad campsites. Despite having multiple and severe problems, I regularly see backpackerscamping in these types of locations.If […]

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By Andrew Skurka on in Skills

Tags: Five-star backpacking campsites

In Part 2 of this series I discussed the ideal features of a camping zone, which is a general area like a creek valley or lake basin. For example, I seek out locations that will be forested and that aren’t in the bottom of a drainage. Once I have arrived in a camping zone, I […]

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By Andrew Skurka on in Skills

Tags: Five-star backpacking campsites

Recall from Part 1 that I assess backpacking campsites on two levels: zones and spots. Thezone-level features of a five-star campsite never change. But spot-level features depend on whether I am sleeping on the ground or in a hammock. In this post I will discuss zone-level features. Safety This one should be obvious, but it’s […]

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Position Statements
Diabetes Care 2018 Jan; 41 (Supplement 1): S13 - S27. DESIGN Tall Tapered Jeans In Mid Wash Mid wash blue Asos Choice Sale Online From China Free Shipping Discount Wholesale Price Cheapest For Sale Clearance Best Prices UFcG0NCYO3
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Abstract

The American Diabetes Association (ADA) “Standards of Medical Care in Diabetes” includes ADA’s current clinical practice recommendations and is intended to provide the components of diabetes care, general treatment goals and guidelines, and tools to evaluate quality of care. Members of the ADA 18kt rose amp; white gold Nudo smoky quartz ring Unavailable POMELLATO Choice Online Prices Sale Online Outlet Countdown Package Wide Range Of Online kzEVLzong9
, a multidisciplinary expert committee, are responsible for updating the Standards of Care annually, or more frequently as warranted. For a detailed description of ADA standards, statements, and reports, as well as the evidence-grading system for ADA’s clinical practice recommendations, please refer to the Standards of Care Introduction . Readers who wish to comment on the Standards of Care are invited to do so at professional.diabetes.org/SOC .

Diabetes can be classified into the following general categories:

Type 1 diabetes (due to autoimmune β-cell destruction, usually leading to absolute insulin deficiency)

Type 2 diabetes (due to a progressive loss of β-cell insulin secretion frequently on the background of insulin resistance)

Gestational diabetes mellitus (GDM) (diabetes diagnosed in the second or third trimester of pregnancy that was not clearly overt diabetes prior to gestation)

Specific types of diabetes due to other causes, e.g., monogenic diabetes syndromes (such as neonatal diabetes and maturity-onset diabetes of the young [MODY]), diseases of the exocrine pancreas (such as cystic fibrosis and pancreatitis), and drug- or chemical-induced diabetes (such as with glucocorticoid use, in the treatment of HIV/AIDS, or after organ transplantation)

This section reviews most common forms of diabetes but is not comprehensive. For additional information, see the American Diabetes Association (ADA) position statement “Diagnosis and Classification of Diabetes Mellitus ” ( 1 ).

Type 1 diabetes and type 2 diabetes are heterogeneous diseases in which clinical presentation and disease progression may vary considerably. Classification is important for determining therapy, but some individuals cannot be clearly classified as having type 1 or type 2 diabetes at the time of diagnosis. The traditional paradigms of type 2 diabetes occurring only in adults and type 1 diabetes only in children are no longer accurate, as both diseases occur in both age-groups. Children with type 1 diabetes typically present with the hallmark symptoms of polyuria/polydipsia, and approximately one-third present with diabetic ketoacidosis (DKA) ( 2 ). The onset of type 1 diabetes may be more variable in adults, and they may not present with the classic symptoms seen in children. Occasionally, patients with type 2 diabetes may present with DKA, particularly ethnic minorities ( 3 ). Although difficulties in distinguishing diabetes type may occur in all age-groups at onset, the true diagnosis becomes more obvious over time.

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