 códigos de erro comuns do MongoDB, a API da Azure Cosmos DB para a MongoDB tem os seus próprios códigos de erro específicos. Estes podem ser encontrados no [Guia de Resolução de Problemas.](mongodb-troubleshoot.md)

## <a name="supported-drivers"></a>Motoristas apoiados

### <a name="is-the-simba-driver-for-mongodb-supported-for-use-with-azure-cosmos-dbs-api-for-mongodb"></a>O condutor do Simba para a MongoDB é apoiado para uso com a API da Azure Cosmos DB para a MongoDB?

Sim, você pode usar o motorista Mongo ODBC de Simba com Azure Cosmos DB's API para MongoDB

## <a name="next-steps"></a>Passos seguintes

* [Construa uma aplicação web.NET utilizando a API da Azure Cosmos DB para a MongoDB](create-mongodb-dotnet.md)
* [Crie uma app de consolas com a Java e a MongoDB API em Azure Cosmos DB](create-mongodb-java.md)
After more than 30 professional years researching, writing about, and managing my own blood sugar imbalance, I still believe gum care is among the most important and least appreciated aspects of self-management for diabetes, metabolic and insulin resistance syndromes, and many immune system disorders. Studies keep showing how gum disease (periodontal infection) and diabetes are a reflection of each.
Severe gum disease (periodontitis) is known to actually be a major contributing factor in diabetes. According to researchers at Marquette University, “Periodontitis raises levels of inflammatory cytokines and serum lipids—these cytokines can produce an insulin resistance syndrome similar to that observed in diabetes and initiate destruction of pancreatic beta cells leading to development of diabetes.
Just as gum disease contributes to diabetes, having diabetes worsens gum conditions. According to the American Academy of Periodontology (AAP), “Periodontal disease is often considered the sixth complication of diabetes. Those people who don’t have their diabetes under control are especially at risk.” The link between diabetes and gum disease is that both cause inflammation, not just locally, but throughout the entire body. Inflammatory cytokines like interleukin 1 (IL-1) and tumor necrosis factor (TNF) inflame blood vessels, creating small scars—soon the vessels block up with plaque. These blockages are linked with heart and kidney disease, strokes, and all major complications of diabetes.
A study from Bangalore, India looked at 200 people—half of whom had recent strokes or heart attacks. Researchers controlled for family history of stroke, diet, smoking and alcohol consumption, diabetes, hypertension, total serum cholesterol level, and education level. Those with worse gums (pocket depths greater than 4.5 millimeters) had far higher risk of strokes and other cardiac events.
Along with inflammation, infection of the gums creates a vicious diabetes circle—gum infections can raise blood glucose levels. At the same time, high blood glucose makes it harder to fight infections. High glucose seems to weaken white blood cells called “neutrophils,” so they can’t kill germs as effectively. And one more thing…the latest research indicates that gum disease is a major risk factor for erectile dysfunction (ED), very common in men with diabetes—improving gum health may actually cause erections to return.
dentures—dental restorations—that are not a good fit.
If you have any of the above symptoms, you should see a dentist or periodontist (dentist specializing in gum diseases) right away. My research and clinical experience shows it’s best to seek a dentist who is trained and certified in dental laser procedures for periodontal surgery as it’s so much less invasive than cutting the tissues, and the healing is fast—lessening the chance of a secondary infection, especially in diabetics. And… keep in mind that diabetes means you are more likely to have gum disease, even without symptoms.
But professional dental care is also super-important. According to The Gum Disease—Diabetes Project, gum disease causes “pockets” that are much deeper than the normal gap between tooth and gum. When this happens, you can no longer reach into the pocket with floss or a toothbrush, so it’s hard to get the germs out, although small interproximal brushes sometimes help. That’s where professional help comes in. Once those pockets become so deep that even a hygienist cannot sufficiently clean them, it’s time for serious periodontal treatment—deep scaling and laser surgery being great alternatives to cutting all the gum tissues!
Another UB report found that simple tooth cleaning is not enough for most people with diabetes. Antibiotics are often recommended by the dentist for a bacterial infection but can serve to cause other serious issues like knocking the immune system down another notch and the opportunity for a serious yeast infection as all the bacteria is killed—the good and the bad. There are other natural immune enhancers like a homeopathic silver hydrosol that acts like an antibiotic that can be used to rinse and also take orally. See your integrative or natural health care provider as this product is not available over-the-counter. The treatment of chronic periodontal infection is essential in the diabetic patient.
Good oral health is much more than brushing, flossing, and supplementing with calcium, vitamins D and C. Studies indicate omega-3 fats help calm oral inflammation caused by infections—not to mention the overall benefit for widespread inflammation throughout the body and the effects of health-depleting oral bacteria on blood sugar.
Why? Diabetes makes the body more susceptible to bacterial infection, so people with diabetes have a decreased ability to fight germs that invade the gums. Fortunately, there are easy steps you can take to protect your oral health if you have diabetes.
According to the National Diabetes Education Program (NDEP), cardiovascular disease is the leading cause of death among people with diabetes. About 68 percent of diabetics die of heart disease or stroke. In fact, researchers discovered that obtaining near-normal glucose control with drug therapy is associated with “significantly increased risks of death from any cause and death from cardiovascular causes”—the very outcomes the medication was supposed to prevent.
A recent meta-analysis of 13 randomized controlled trials concluded: Not only is drug treatment to lower blood glucose levels ineffective... it’s also dangerous.
The problem with the glucose-lowering drugs is this...they don’t address the underlying causes of inflammation, which contribute to cardiovascular disease—they simply lower blood sugar, and, when it comes to fighting heart disease, they are often not effective and can be dangerous.Yesterday Jeremy and I celebrated 7 years of marriage. It's funny how anniversaries are quite different once you have children. I remember going away for the weekend when we celebrated our second anniversary. I also remember romantic dinners. Those were the days! This year was quite different, but that didn't make it any less special to me. We had a nice day together- Samuel slept in until 8:00, which was late for him. Then, Vance gave us an anniversary present by taking a wonderful 2 1/2 hour nap, which was a huge blessing (more on that later). We took Vance and Samuel to church at 11:00. It was Vance's second time in church but his first time at our church. Vance slept through everything but the clapping. After church all 4 of us went to lunch at Jason's Deli. It wasn't exactly what I picture as a anniversary spot, but it was nice to have relaxing family time out of the house since I am spending a lot of time at home these days. After lunch, we went home to put Samuel and Vance down for naps, and we watched a movie that Jeremy had rented. I don't even want to mention the name because I wouldn't recommend it to anyone- Jeremy got it because it looked like a chick flick and he was trying to please me... Samuel took a great nap, but Vance decided he wanted some snuggle time on the couch with Mommy and Daddy. Since I desperately wanted Vance to sleep and didn't want to wake Samuel with Vance's noises and tears, I held Vance on my chest while he slept. (Once again I will share more about Vance's issues in another post.) We stayed at home after naps. We can always find ways to entertain Samuel at home, which is good since it's a challenge to venture out with a 7 week old baby and a 2 year old. Later on, we took the boys to return the movie and make an exchange at Target. By this time it was dinnertime, and we had no clue what we were going to eat. It's a good thing we got a call from friends in our Bible study. Bible study had been cancelled, but they invited us to eat dinner with them. We had a nice dinner; Samuel and Vance both did great! After dinner we put the kids to bed and went to bed too.
Oh, and we got two more presents from the kids- Vance slept 5 1/2 hours straight last night and then both boys slept in this morning until 8:15, which was nice since we are SO tired!
Last but not least, Jeremy, you are my media naranja. Thank you for 7 wonderful years. I love you more each day and treasure my time with you! You are a wonderful husband and father. I can't wait to see what the Lord has in store for us in the future! The picture below was taken a few weeks before we found out we were expecting