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It was part of the African American dialect of English in the 1960s meaning to converse, today, the terms rap and rapping are so closely associated with hip-hop music that many writers use the terms interchangeably. The English verb rap has various meanings, such as to strike, especially with a quick, smart, or light blow, as well to utter sharply or vigorously, to rap out a command. The Shorter Oxford English Dictionary gives a date of 1541 for the first recorded use of the word with the meaning to utter sharply, vigorously and it is these meanings from which the musical form of rapping derives, and this definition may be from a shortening of repartee. A rapper refers to a performer who raps, by the late 1960s, when Hubert G. Brown changed his name to H. Rap was used to describe talking on records as early as 1971, on Isaac Hayes album Black Moses with track names such as Ikes Rap, Ikes Rap II, Ikes Rap III, Hayes husky-voiced sexy spoken raps became key components in his signature sound.

Eventually the insulin doses may be increased slowly to allow normalization of blood glucose levels. The cornerstone of management for DAN is improving diabetes control. However, one must treat all of the patient's metabolic parameters to target. The overall risk of CAN can be reduced by 70 with physiologic management of hyperglycemia, hyperlipidemia, and hypertension, as well as with the use of ACE inhibitors.]