has type 1 diabetes. and then there's type 2, which is mostly caused by poor eating habits and lack of exercise. aziana was 11 when she found out that, like her mother, she had type 2 diabetes. >> i seen my mom, and, like, she takes medicine, and i didn't want to do that. >> now here's the really bad news. >> both type 1 and type 2 diabetes are increasing in american children. >> dr. dana dabelea is with the colorado school of public health. okay. so, what is diabetes? >> it affects your blood sugar. >> it doesn't stay the way it normally would in, like, a healthy person. >> diabetes is a condition that occurs when the body either doesn't make enough insulin or doesn't respond normally to the insulin that it makes. >> insulin is a hormone that most of us naturally make in our body. insulin converts sugar into energy. so, those with type 1 diabetes were born with an inability to process sugar. on the other hand, if you eat too many foods and drinks with lots of sugar, you can develop type 2 diabetes. botto

treatment center where saint lukes has the 25 percent diabetes rate and three of those were the only spanish speaking workers there. they created that program specifically because women with diabetes were having children born with disoshia because they were not able to come out of the wo mb properly and needed c-sections and they have laid these people off. and i know from the nurses and the other people in the community and the physicians that we represent, we are calling for the immediate reinstatement for warta and warner and it would be resenos as well and unfortunately she has been able to find another position, we have seen hospital take over issues and government issues plaquing up and down the state. at moren and other hospitals our organizations have been very vocal about the fact that these guys do not deserve, non-profit status and if they are going to get it at least take all of this extra, like, 80 million dollars, with the surplus around there and the actual care, and provide it in the hiring the workers who said to provide the muni cards and that is an easy one and we

it's known that diabetes damages nerves lyrica is fda-approved to treat diabetic nerve pain. lyrica is not for everyone. it may cause serious allergic reactions, or suicidal thoughts or actions. tell your doctor right away if you have these new or worsening depression, or unusual changes in mood or behavior. or swelling, trouble breathing rash, hives, blisters, changes in eyesight including blurry vision, muscle pain with fever tired feeling, or skin sores from diabetes. common side effects are dizziness, sleepiness, weight gain and swelling of hands, legs and feet. don't drink alcohol while taking lyrica. don't drive or use machinery until you know how lyrica affects you. those who have had a drug or alcohol problem may be more likely to misuse lyrica. having less pain... it's a great feeling. ask your doctor about lyrica today. it's specific treatment for diabetic nerve pain.

. >> item 15 action item notification of kaiser investigation review board rewarding diabetes. >> as you recall this is the slide 5 under the wellness tab should be inserted we've been working with kaiser a year almost identifying the potential research projects we've finally come up with a great project and in order to kaiser to move through their bureaucracies they need to be sure we can do this so stephanie and where is this slide. >> it's in tab 5. >> under tab 5 with the director's report in the wellness section adversities right before the, true vin analysis. >> unfortunately, there's two tabs there's december and january and it's slide 5. >> i'll give you mine karen. >> you can precede please. all right. >> all right. >> so to give you a little bit of background how we came to be here the kaiser permanente appendix d has the transparency accountability and wellness to one of those was the kaiser permanente with collaborative with h sf for 9 wellness of the group men's we've been working with them to come up with a research study woefrth of those dollars to help to expand our i

or pre-diabetes. we have one-third of our adults that have high blood pressure. we're sick. and then we have to subsidize through medicare, medicaid and the affordable care act the health care to take care of the people who get sick from the cheap accessible food that's been subsidized. it doesn't make any sense. >> i feel like you don't quite say it but you're close to saying it. main culprit -- sugar, in your mind? >> well, sugar is addictive and i think sugar is a problem. increased amounts of sugar. i'm not a prude and here we are in the holiday season. we're all going to cheat. i'm not that kind of guy. i'm really not. but the levels of sugar that we are eat inging now are extreme. the average american weighs about 20 pounds more than we did in the 1960s and we're only an inch taller. the about 70 pounds of sugar a year. so clearly that's a big problem when you see the obesity rates, the diabetes. sugar is our main culprit. i think we need to be a little more disciplined about what we're eating.

we are obligated to ensure that when we hear things like diabetes and cultural competency i think we can work closely with cpmc and a stronger way to ensure that they are culturally competent. i don't see why i can't work with them closely to ensuring them. also the mso issue in the tenderloin, i think we can solve that. we tried to work very closely with the clinic consortium and there is an mso within that group and that is an example. so there is i think a possibility of that. we also want to work closely to ensure that the new hospital does provide and i'm talking about the cathedral hill or the sand hill that it does have a structural response to medi-cal patients. we believe that's important, that's why it was in the beginning of our process and we'll continue to work with cpmc to ensure that and we'll begin our process to work with parties and i think we put a lot of effort into this and we still have a lot of work to do and we can improve those areas for at least the development agreement on the health side. i want to thank all of you and thank the cpmc for the work that they

and it is won awards and it has saved millions of dollars, in preventing diabetes and in treating and if you look at the neighborhood and you say, where are the people obese, where are these types of needs? it is very much in the mission, and in that area. it would be a shame to not have this diabetic center fully staffed, with the translaters that are needed for that particular population. and all that i see is that suter is very greety. and i would ask you to please, think about what i am saying, and think about what this means to the city, if you don't prevent diabetes and you don't treat things early you are going to have a whole bunch more dollars that you will have to spend. the city is going to pay for it. >> i know that each hospital should be doing their fair share of charity and i know that the board here and the city supervisors can make that happen. and i am also involved with the puc and to hold the people accountable. next speaker. >> (inaudible) clearing house and a member organization of the community coalition and i just want to review a couple of points. and then mak

he had severe diabetes. he had a blood pressure of 185 over 115 >>well i do know that's not good >>i just got his numbers october 15th. his a1c is now 5.9 >>translate that >>he is... well at 6.5 you're a diabetic. the ideal number of the a1c should be somewhere below 5.7 >>right >>so he's at 5.8. he came down from 12.8 >>wow >>to 5.9 in seven months watching his diet, diet modification >>exercise too? >>and exercise >>did you put him on the exercise plan? >>i put him on the exercise program >>do you monitor it? >>i do. i do. >>so you're onto... it's not just hey get out there and go take a walk you monitor what his personal...? >>well i'm a medical exercise specialist as well so i put him on a program his brother in law is a personal trainer so i said have your brother in law contact me i will set up the exercise prescription and between your diet supplementation and your exercise program we're going to reverse your diabetes now i can't tell people that i'm going to cure them of betes. but this is an individ

saint luke and include the discussion about the structure of the diabetes center. i heard the majority of commissioners on both commissions agreed that is a concern. >> i believe from the appropriate concerns around the diabetes center. >> why that was mentioned it would help. >> thank you, director. >> i look forward to working with director ram and i want to thank the commissioners because i worked with you during this process and will is the community along with cpmc. the department of course has the development agreement and we have the responsibility to prove this overall health in our city for example with the ebola response we worked very closely with the hospital and made site visits to make sure they were prepared. we are obligated to ensure that when we hear things like diabetes and cultural competency i think we can work closely with cpmc and a stronger way to ensure that they are culturally competent. i don't see why i can't work with them closely to ensuring them. also the mso issue in the tenderloin, i think we can solve that. we tried to work very cl

it's known that diabetes damages nerves. lyrica is fda-approved to treat diabetic nerve pain.ot for everyone. it may cause serious allergic reactions or suicidal thoughts or actions. tell your doctor right away if you have these new or worsening depression, or unusual changes in mood or behavior. or swelling, trouble breathing rash, hives, blisters, changes in eyesight including blurry vision, muscle pain with fever, tired feeling, or skin sores from diabetes. common side effects are dizziness, sleepiness, weight gain and swelling of hands, legs and feet. don't drink alcohol while taking lyrica. don't drive or use machinery until you know how lyrica affects you. those who have had a drug or alcohol problem may be more likely to misuse lyrica. having reduced pain is great and i'm grateful for it. ask your doctor about lyrica and visit lyrica.com to learn about our $25 co-pay offer. >>> good morning. today is sunday. 25th of january 2015. empower looking live at india where president obama is set to speak any moment now. the commander in chief arriving to a warm welcome. this mo

it's known that diabetes damages nerves lyrica is fda-approved to treat diabetic nerve pain.a is not for everyone. it may cause serious allergic reactions, or suicidal thoughts or actions. tell your doctor right away if you have these new or worsening depression, or unusual changes in mood or behavior. or swelling, trouble breathing rash, hives, blisters, changes in eyesight including blurry vision, muscle pain with fever tired feeling, or skin sores from diabetes. common side effects are dizziness, sleepiness, weight gain and swelling of hands, legs and feet. don't drink alcohol while taking lyrica. don't drive or use machinery until you know how lyrica affects you. those who have had a drug or alcohol problem may be more likely to misuse lyrica. having less pain... it's a great feeling. ask your doctor about lyrica today. it's specific treatment for diabetic nerve pain. boy: once upon a time, there was a nice house that lived with a family. one day, it started to rain. the house tried to keep out all the water, but water got inside and ruined everybody's everythings. the ho

we are obligated to ensure that when we hear things like diabetes and cultural competency i think we can work closely with cpmc and a stronger way to ensure that they are culturally competent. i don't see why i can't work with them closely to ensuring them. also the mso issue in the tenderloin, i think we can

. >> there are over 3 million with the diabetes in this country, and today diabetes has published the nation of the state reported a culture education for people to prevent type two diabetes educational people to know when to approach their gp with symptoms type one or type two and education for people with the condition so that they can self manage and take pressure off the nhs. will the prime minister look through the report and act on its findings? >> i will certainly get this report because i think of all the health care conditions there are. one of the ones which, if we act on fastest we could have a huge knock on effect on the nhs is diabetes but if you look at the costs of things like amputations and other treatments because people getting diabetes, we can make an enormous impact. he raises the issue but being able to self regulate. there's an enormous amount of exciting new technology coming forward in terms of diabetes and i want to make sure that technology is rapidly adopted by the nhs. >> thank you, mr. speaker. the independent obr says the government's long-term spending

. ♪ my name is karen and i have diabetic nerve pain. it's progressive pain.st that feeling of numbness. then hot pins. almost like lightning bolts, hot strikes into my feet. so my doctor prescribed lyrica. the pain has been reduced and i feel better than i did before. [ male announcer ] it's known that diabetes damages nerves. lyrica is fda-approved to treat diabetic nerve pain. lyrica is not for everyone. it may cause serious allergic reactions or suicidal thoughts or actions. tell your doctor right away if you have these, new or worsening depression, or unusual changes in mood or behavior. or, swelling trouble breathing, rash, hives, blisters, changes in eyesight, including blurry vision, muscle pain with fever tired feeling or skin sores from diabetes. common side effects are dizziness, sleepiness, weight gain and swelling of hands, legs and feet. don't drink alcohol while taking lyrica. don't drive or use machinery until you know how lyrica affects you. those who have had a drug or alcohol problem may be more likely to misuse lyrica. [ karen ] having less

it's specific treatment for diabetic nerve pain.e were to be put under a microscope we can see all the bacteria that still exists. polident's unique micro clean formula works in just 3 minutes, killing 99.99% of odor causing bacteria. for a cleaner, fresher brighter denture everyday. introducing new always discreet underwear for sensitive bladders, from always. with soft, dual leakguard barriers to help stop leaks where they happen most. plus, a discreet fit that hugs your curves. always discreet visit alwaysdiscreet.com for coupons and to learn more. you get sick you can't breathe through your nose suddenly, you're a mouth breather. a mouth breather! well, put on a breathe right strip and shut your mouth. cold medicines open your nose over time, but add a breathe right strip and pow, it opens your nose up to 38% more. so you can breathe and do the one thing you want to do sleep. add breathe right to your cold medicine shut your mouth and sleep right. breathe right. and look for the calming scent of new breathe right lavender in the

it's known that diabetes damages nerves lyrica is fda-approved to treat diabetic nerve pain.a is not for everyone. it may cause serious allergic reactions, or suicidal thoughts or actions. tell your doctor right away if you have these, new or worsening depression, or unusual changes in mood or behavior. or swelling, trouble breathing, rash, hives, blisters, changes in eyesight including blurry vision, muscle pain with fever, tired feeling, or skin sores from diabetes. common side effects are dizziness, sleepiness, weight gain and swelling of hands, legs and feet. don't drink alcohol while taking lyrica. don't drive or use machinery until you know how lyrica affects you. those who have had a drug or alcohol problem may be more likely to misuse lyrica. having less pain... it's a great feeling. ask your doctor about lyrica today. it's specific treatment for diabetic nerve pain. >>> after dr. sutorius married dante briton, the couple moved into a luxurious home in an upscale cincinnati suburb. dante relished the lifestyle that her husband's income could provide. >> she finally ha

think about what i am saying, and think about what this means to the city, if you don't prevent diabetes and you don't treat things early you are going to have a whole bunch more dollars that you will have to spend. the city is going to pay for it. >> i know that each hospital should be doing their fair share of charity and i know that the board here and the city supervisors can make that happen. and i am also involved with the puc and to hold the people accountable. next speaker. >> (inaudible) clearing house and a member organization of the community coalition and i just want to review a couple of points. and then make a request. this particular development offers an opportunity as you see by the nature of the development agreement which we take some responsibility and pride in saying we helped to devise, and addresses the major concerns of community groups and labor organized labor, this is a coalition of community and labor. and we are the folks who put on the table and we put on the table the mitigation around the traffic impacts in the most extraordinarily dense transit corridor ge

it's known that diabetes damages nerves lyrica is fda-approved to treat diabetic nerve pain.ca is not for everyone. it may cause serious allergic reactions, or suicidal thoughts or actions. tell your doctor right away if you have these new or worsening depression, or unusual changes in mood or behavior. or swelling, trouble breathing rash, hives, blisters, changes in eyesight including blurry vision, muscle pain with fever tired feeling, or skin sores from diabetes. common side effects are dizziness, sleepiness, weight gain and swelling of hands, legs and feet. don't drink alcohol while taking lyrica. don't drive or use machinery until you know how lyrica affects you. those who have had a drug or alcohol problem may be more likely to misuse lyrica. having less pain... it's a great feeling. ask your doctor about lyrica today. it's specific treatment for diabetic nerve pain. eh, you don't want that one. yea, actually i do. it's mucinex fast-max night time and it's got a nasal decongestant. is that really a thing? it sounds made up. mucinex fast max night time for multi-symptom

it's known that diabetes damages nerves. lyrica is fda-approved to treat diabetic nerve pain. lyrica is not for everyone. it may cause serious allergic reactions or suicidal thoughts or actions. tell your doctor right away if you have these new or worsening depression, or unusual changes in mood or behavior. or swelling, trouble breathing rash, hives, blisters, changes in eyesight including blurry vision, muscle pain with fever, tired feeling, or skin sores from diabetes. common side effects are dizziness, sleepiness, weight gain and swelling of hands, legs and feet. don't drink alcohol while taking lyrica. don't drive or use machinery until you know how lyrica affects you. those who have had a drug or alcohol problem may be more likely to misuse lyrica. having reduced pain is great and i'm grateful for it. ask your doctor about lyrica and visit lyrica.com to learn about our $25 co-pay offer. . >>> next tonight, a warning for families heading to the ski slopes. they may accept that coming down the mountain has risks, clayton sandell has a little-known danger going up. >> repor

two languages but bilingual in health care and those particular areas particularly for mothers and diabetic and there is an extra level of sensitivity that go beyond translating. i myself refuse to go to an office where somebody else has to stand by to translate what my personal issues are. going to the doctors is an issue itself. i'm glad that we do not have to vote compliance but i am looking inform -- for an increased level and from the planning department etc to really work more closely on compliance and the issues in between. again, as always i'm sitting here as an english second language person. the accuracy of what we say and what we do when we say that we do and when we do what we say and doing it are extremely important particularly to get back to my initial point, the number of people which came together to craft this development agreement commas the most diverse backgrounds and the largest number of different objectives of what needed to be done. it is now in the follow through and by the extra energy that everybody spends to make the next year the most successful reporting perio

it's known that diabetes damages nerves lyrica is fda-approved to treat diabetic nerve pain.ica is not for everyone. it may cause serious allergic reactions, or suicidal thoughts or actions. tell your doctor right away if you have these new or worsening depression, or unusual changes in mood or behavior. or swelling, trouble breathing rash, hives, blisters, changes in eyesight including blurry vision, muscle pain with fever tired feeling, or skin sores from diabetes. common side effects are dizziness, sleepiness, weight gain and swelling of hands, legs and feet. don't drink alcohol while taking lyrica. don't drive or use machinery until you know how lyrica affects you. those who have had a drug or alcohol problem may be more likely to misuse lyrica. having less pain... it's a great feeling. ask your doctor about lyrica today. it's specific treatment for diabetic nerve pain. >>> as >>> as 2015 rang in so did hundreds of laws across the country. like it's against like it's against law to make aie -- >> it's obvious to a lot of people that girlfriending people a lower wage is go

it's specific treatment for diabetic nerve pain. deliver your mail so if you have any packages you want to return you should just give them to us i mean, we're going to be there anyway why don't you just leave it for us to pick up? or you could always get in your car and take it back yourself yeah, us picking it up is probably your easiest option test test ok, well, good talk >>> the fastest seven minutes on television. threeçó stories, one sprightly host. the golden globesjfq were a hit last night. celebs patting themselves on the back. there were funny xdy/6moments. george clooney honored for a check out tina feye1 pointing out the obvious. george clooney married a humanc rights lawyer who wase1 anq adviser regarding syria and was selected for a commission investigating rules of war violations in the gaza so tonight her husband is getting a lifetime xdachievement award. >> and thenfá there was the moment when tina t(fát(fey and amyw3 pohler went there regarding cosby. e1 >> and cinderella runs from herÑi prince and sleeping beauty

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it's known that diabetes damages nerves. lyrica is fda-approved to treat diabetic nerve pain.rgic reactions, or suicidal thoughts or actions. tell your doctor right away if you have these, new or worsening depression, or unusual changes in mood or behavior. or swelling, trouble breathing, rash, hives, blisters, changes in eyesight including blurry vision, muscle pain with fever, tired feeling, or skin sores from diabetes. common side effects are dizziness, sleepiness, weight gain and swelling of hands, legs and feet. don't drink alcohol while taking lyrica. don't drive or use machinery until you know how lyrica affects you. those who have had a drug or alcohol problem may be more likely to misuse lyrica. having reduced pain is great, and i'm grateful for it. ask your doctor about lyrica and visit lyrica.com to learn about our $25 co-pay offer. ♪ >>> i don't like pina coladas but i like walking in the rain. i like wandering through markets as much as the next guy, but what i really like are neurotoxins. in japan they call it fugu. yeah, yeah, yeah, its eyes, ovaries and interna

lyrica is fda-approved to treat diabetic nerve pain. lyrica is not for everyone. reactions or suicidal thoughts or actions. tell your doctor right away if you have these, new or worsening depression, or unusual changes in mood or behavior. or, swelling, trouble breathing, rash, hives, blisters, changes in eyesight, including blurry vision, muscle pain with fever, tired feeling or skin sores from diabetes. common side effects are dizziness, sleepiness, weight gain and swelling of hands, legs and feet. don't drink alcohol while taking lyrica. don't drive or use machinery until you know how lyrica affects you. those who have had a drug or alcohol problem may be more likely to misuse lyrica. [ karen ] having less pain, that means everything to me. [ male announcer ] ask your doctor about lyrica today. it's specific treatment for diabetic nerve pain. >>> going back to the very beginning, various groups with stars in their eyes came here seeking to create a utopia along ideological lines. we populate north america with british, italians, everybody. >> it started with th

type one diabetes patients who are depressed may have a greater chance of developing type two diabetes. >>> there's a breakthrough for people suffering knee pain. surgeons have planted the first plastic ma -- minis did the -- minicus, it shapes itself to fit the person's knee. >> if this turns out as we think it will, it fills a gap for people who have had treatment for their knee. it not only relieves pain, but could avoid a knee replace him. >> waze traffic app is coming under fire by one of the nations top cops. the app which gives away the location of officers can engage their lives. the waze app allows people to look at accidents and traffic jams and speed traffic. cops want google to remove that part from the waze app. >>> a store comes out with premium patriots and come with premium price tags. nydia han has the most bang for your buck. >> reporter: why pay more than you have to, right? consumer reports tested those pricey paints as well as dozens of other paints to his how much you need to pay to get great results. >> reporter: a freshly coat of pain can give any room a simple

my name is karen and i have diabetic nerve pain. it's progressive pain. that feeling of numbness. then hot pins. almost like lightning bolts, hot strikes into my feet. so my doctor prescribed lyrica. the pain has been reduced and i feel better than i did before. [ male announcer ] it's known that diabetes damages nerves. lyrica is fda-approved to treat diabetic nerve pain. lyrica is not for everyone. it may cause serious allergic reactions or suicidal thoughts or actions. tell your doctor right away if you have these, new or worsening depression, or unusual changes in mood or behavior. or, swelling trouble breathing, rash, hives, blisters, changes in eyesight, including blurry vision, muscle pain with fever tired feeling or skin sores from diabetes. common side effects are dizziness, sleepiness, weight gain and swelling of hands, legs and feet. don't drink alcohol while taking lyrica. don't drive or use machinery until you know how lyrica affects you. those who have had a drug or alcohol problem may be more likely to misuse lyrica. [ karen ] having less p

it's known that diabetes damages nerves lyrica is fda-approved to treat diabetic nerve pain.everyone. it may cause serious allergic reactions, or suicidal thoughts or actions. tell your doctor right away if you have these new or worsening depression, or unusual changes in mood or behavior. or swelling, trouble breathing rash, hives, blisters, changes in eyesight including blurry vision, muscle pain with fever tired feeling, or skin sores from diabetes. common side effects are dizziness, sleepiness, weight gain and swelling of hands, legs and feet. don't drink alcohol while taking lyrica. don't drive or use machinery until you know how lyrica affects you. those who have had a drug or alcohol problem may be more likely to misuse lyrica. having less pain... it's a great feeling. ask your doctor about lyrica today. it's specific treatment for diabetic nerve pain. is it our insightful strategies that make edward jones one of the country's biggest financial services firms? or 13,000 financial test. test. that doesn't act that way. >>> a free pass here potentially putting news dange

it's known that diabetes damages nerves lyrica is fda-approved to treat diabetic nerve pain.for everyone. it may cause serious allergic reactions, or suicidal thoughts or actions. tell your doctor right away if you have these new or worsening depression, or unusual changes in mood or behavior. or swelling, trouble breathing rash, hives, blisters, changes in eyesight including blurry vision, muscle pain with fever tired feeling, or skin sores from diabetes. common side effects are dizziness, sleepiness, weight gain and swelling of hands, legs and feet. don't drink alcohol while taking lyrica. don't drive or use machinery until you know how lyrica affects you. those who have had a drug or alcohol problem may be more likely to misuse lyrica. having less pain... it's a great feeling. ask your doctor about lyrica today. it's specific treatment for diabetic nerve pain. we come by almost every day to deliver your mail so if you have any packages you want to return you should just give them to us i mean, we're going to be there anyway why don't you just leave it for us to pick up? or

my name is karen and i have diabetic nerve pain. it's progressive pain.st that feeling of numbness. then hot pins. almost like lightning bolts, hot strikes into my feet. so my doctor prescribed lyrica. the pain has been reduced and i feel better than i did before. [ male announcer ] it's known that diabetes damages nerves. lyrica is fda-approved to treat diabetic nerve pain. lyrica is not for everyone. it may cause serious allergic reactions or suicidal thoughts or actions. tell your doctor right away if you have these, new or worsening depression, or unusual changes in mood or behavior. or, swelling trouble breathing, rash, hives, blisters, changes in eyesight, including blurry vision, muscle pain with fever tired feeling or skin sores from diabetes. common side effects are dizziness, sleepiness, weight gain and swelling of hands, legs and feet. don't drink alcohol while taking lyrica. don't drive or use machinery until you know how lyrica affects you. those who have had a drug or alcohol problem may be more likely to misuse lyrica. [ karen ] having less

my name is karen and i have diabetic nerve pain. it's progressive pain. that feeling of numbness. then hot pins. almost like lightning bolts, hot strikes into my feet. so my doctor prescribed lyrica. the pain has been reduced and i feel better than i did before. [ male announcer ] it's known that diabetes damages nerves. lyrica is fda-approved to treat diabetic nerve pain. lyrica is not for everyone. it may cause serious allergic reactions or suicidal thoughts or actions. tell your doctor right away if you have these, new or worsening depression, or unusual changes in mood or behavior. or, swelling, trouble breathing, rash, hives, blisters, changes in eyesight, including blurry vision, muscle pain with fever, tired feeling or skin sores from diabetes. common side effects are dizziness, sleepiness, weight gain and swelling of hands, legs and feet. don't drink alcohol while taking lyrica. don't drive or use machinery until you know how lyrica affects you. those who have had a drug or alcohol problem may be more likely to misuse lyrica. [ karen ] having less