Generally, they do, but look closer. Feel the needles. Spruces have stiff, prickly needles, while Douglas-firs and true firs have soft, flexible needles. Each spruce needle springs from a tiny, woody peg; in fact, this peg is one of the best ways to identify a spruce. Spruce cones hang down from the branches like those of Douglas-fir while true fir cones stand up, but spruce cones do not have Douglas-fir's pitchfork bracts. The scales of most spruce cones are papery thin--yet another difference. And spruce bark is scaly--Douglas-fir and the true firs have smooth or ridged bark. There are approximately 40 different species of spruce in the world, but only 3 are native to the Pacific Northwest--and only 2 of those are common. Location is probably the best clue to their identity. : grows only along the Pacific coast, from northern California through southeastern Alaska, and only near sea level.
Dysmetabolic syndrome X: A constellation of metabolic abnormalities in serum or plasma insulin / glucose level ratios, lipids (triglycerides, LDL cholesterol subtypes and/or HDL cholesterol), uric acid levels, coagulation factor imbalances and vascular physiology.ysmetabolic syndrome X: A constellation of metabolic abnormalities in serum or plasma insulin / glucose level ratios, lipids (triglycerides, LDL cholesterol subtypes and/or HDL cholesterol), uric acid levels, coagulation factor imbalances and vascular physiology.
Insulin resistance refers to the diminished ability of cells to respond to the action of insulin in promoting the transport of the sugar glucose, from blood into muscles and other tissues. Metabolic syndrome is also known as syndrome X, insulin resistance syndrome, or dysmetabolic syndrome.