Healthy Grilling Tips for Summer Barbecues

Healthy Grilling Tips for Summer Barbecues

For many Americans, summer just wouldn’t be the same without a backyard barbecue. However, the blackened meats and smoky flavor that come with grilling could put your health at risk, experts caution. The good news, though, is that by planning ahead and making some smart choices, you can enjoy summer barbecues and reduce your exposure to cancer-causing chemicals.

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High-heat grilling can convert proteins found in red meat, pork, poultry and fish into heterocyclic amines (HCAs). These chemicals have been linked to breast, stomach, prostate and colon cancer. “What happens is that the high temperature can change the shape of the protein structure in the meat so it becomes irritating in the body and is considered a carcinogenic chemical,” Stacy Kennedy, a nutritionist at the Dana-Farber Cancer Institute, said in an institute news release. “That’s where the main cancer-causing compound occurs in grilling,” Kennedy said. “So you want to reduce the exposure to that smoke.”

For those who plan to fire up the grill this summer, Kennedy offered the following tips to reduce exposure to cancer-causing agents:

  • Choose meats wisely. Avoid grilling high-fat meats, like ribs and sausages. Instead, choose lean meats, which create less dripping and less smoke. Always trim excess fat and remove skin. It’s also a good idea to choose smaller cuts of meat, such as kabobs, which require less cooking time.
  • Try thin marinades. Thicker marinades tend to char, which could increase exposure to cancer-causing agents. Choose marinades made with vinegar or lemon, which will form a protective layer on the meat.
  • Reduce grilling time. Always thaw meat before cooking. Meat and fish also should be partially cooked in the microwave before grilling. This will reduce cooking time and the risk for smoke flare-ups.
  • Flip often. Flipping burgers once every minute will help prevent burning or charring.
  • Consider food placement. Be sure to place food at least six inches away from a heat source.
  • Create a barrier. Do not allow juices to spill and produce harmful smoke. Line the grill with aluminum foil or cook on cedar planks.
  • Consider veggies. Try grilling your favorite vegetables since they do not contain the protein that forms harmful HCAs. “People are surprised, but you can safely eat charred vegetables,” Kennedy said. “They have different proteins that are not affected the same way as the meat protein.”

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Despite the risks, Kennedy said, barbecue enthusiasts should keep things in perspective. “If you’re grilling and following the proper safety tips, the risk of getting cancer from grilling food is very low,” she said. “Being overweight or obese, which are at epidemic levels in the U.S., are far greater risk factors for developing cancer than the consumption of grilled foods.”

Source: http://www.healthfinder.gov

Provided by the Valley Schools Employee Benefits Trust (VSEBT) from their July 2013 Monthly Wellstyles Newsletter, by Rebecca McGonigle.

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Healthy Eating Plate

Harvard serves up its own ‘Plate’

Healthy Eating Plate shows shortcomings in government’s MyPlate

By Todd Datz

Harvard School of Public Health Communications

Wednesday, September 14, 2011

The Healthy Eating Plate, a visual guide that provides a blueprint for eating a healthy meal, was unveiled today by nutrition experts atHarvard School of Public Health (HSPH) in conjunction with colleagues at Harvard Health Publications. Similar to the U.S. government’sMyPlate, the Healthy Eating Plate is simple and easy to understand — and it addresses important deficiencies in the MyPlate icon.

“Unfortunately, like the earlier U.S. Department of Agriculture (USDA) pyramids, MyPlate mixes science with the influence of powerful agricultural interests, which is not the recipe for healthy eating,” said Walter Willett, professor of epidemiology and nutrition and chair of the Department of Nutrition at HSPH.  “The Healthy Eating Plate is based on the best available scientific evidence and provides consumers with the information they need to make choices that can profoundly affect our health and well-being.”

Comparing the Harvard Healthy Eating Plate with the USDA’s MyPlate shows the shortcomings in the government’s guide. MyPlate does not tell consumers that whole grains are better for health than refined grains; its protein section offers no indication that some high-protein foods — fish, poultry, beans, nuts — are healthier than red meats and processed meats; it is silent on beneficial fats; it does not distinguish between potatoes and other vegetables; it recommends dairy at every meal, even though there is little evidence that high dairy intake protects against osteoporosis but substantial evidence that high intake can be harmful; and it says nothing about sugary drinks. Finally, the Healthy Eating Plate reminds people to stay active, an important factor in weight control, while MyPlate does not mention the importance of activity.

“Unfortunately, like the earlier U.S. Department of Agriculture (USDA) pyramids, MyPlate mixes science with the influence of powerful agricultural interests, which is not the recipe for healthy eating,” said Walter Willett, professor of epidemiology and nutrition and chair of the Department of Nutrition at Harvard School of Public Health. Justin Ide/Harvard Staff Photographer

The Healthy Eating Plate shows that a plant-based diet rich in vegetables, whole grains, healthy fats, and healthy proteins lowers the risk of weight gain and chronic disease. Helping Americans get the best possible nutrition advice is of critical importance as the U.S. and the world face a burgeoning obesity epidemic. Currently, two in three adults and one in three children are overweight or obese in the U.S.

“We want people to use this as a model for their own healthy plate or that of their children every time they sit down to a meal—either at home or at a restaurant,” said Eric Rimm, associate professor of epidemiology and nutrition at HSPH and a member of the 2010 U.S. Dietary Guidelines Advisory Committee.

The sections of the Healthy Eating Plate include:

Vegetables: Eat an abundant variety, the more the better. Limited consumption of potatoes is recommended, however, as they are full of rapidly digested starch, which has the same roller-coaster effect on blood sugar as refined grains and sweets. In the short-term, these surges in blood sugar and insulin lead to hunger and overeating, and in the long term, to weight gain, type 2 diabetes, heart disease, and other chronic disorders.

Fruits: Choose a rainbow of fruits every day.

Whole grains: Choose whole grains, such as oatmeal, whole wheat bread, and brown rice. Refined grains, such as white bread and white rice, act like sugar in the body. Eating too many refined grains can raise the risk of heart disease and type 2 diabetes.

Healthy proteins: Choose fish, poultry, beans, or nuts, which contain healthful nutrients. Limit red meat and avoid processed meats, because eating even small quantities of these on a regular basis raises the risk of heart disease, type 2 diabetes, colon cancer, and weight gain.

Healthy oils: Use olive, canola, and other plant oils in cooking, on salads, and at the table, because these healthy fats reduce harmful cholesterol and are good for the heart. Limit butter and avoid trans fat.

Water: Drink water, tea, or coffee (with little or no sugar). Limit milk and dairy (1-2 servings per day), and juice (1 small glass a day), and avoid sugary drinks.

The sizes of the sections suggest approximate relative proportions of each of the food groups to include on a healthy plate. They are not based on specific calorie amounts, and they are not meant to prescribe a certain number of calories or servings per day, because these numbers vary from person to person. The aim of the Healthy Eating Plate is to illustrate one way to put together a healthy meal that fits within the guidelines of the Healthy Eating Pyramid, which was created by nutrition experts at HSPH in 2001 and updated in 2008. (Read about the Healthy Eating Pyramid on the HSPH Nutrition Source website.)

“One of the most important fields of medical science over the past 50 years is the research that shows just how powerfully our health is affected by what we eat. Knowing what foods to eat and in what proportions is crucial for health. The evidence-based Healthy Eating Plate shows this in a way that is very simple to understand,” said Anthony Komaroff, professor of medicine atHarvard Medical School and editor in chief of Harvard Health Publications.

To download a pdf of the Healthy Eating Plate.

Major progress toward ‘artificial pancreas’

Doctors report major progress toward ‘artificial pancreas’

Published June 23, 2013

Associated Press
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    October 2012: This image provided by Medtronic shows the MiniMed Integrated System device, which doctors are reporting as a major step toward an “artificial pancreas.” (AP)

Doctors are reporting a major step toward an “artificial pancreas,” a device that would constantly monitor blood sugar in people with diabetes and automatically supply insulin as needed.

A key component of such a system — an insulin pump programmed to shut down if blood-sugar dips too low while people are sleeping — worked as intended in a three-month study of 247 patients.

This “smart pump,” made by Minneapolis-based Medtronic Inc., is already sold in Europe, and the U.S. Food and Drug Administration is reviewing it now. Whether it also can be programmed to mimic a real pancreas and constantly adjust insulin based on continuous readings from a blood-sugar monitor requires more testing, but doctors say the new study suggests that’s a realistic goal.

“This is the first step in the development of the artificial pancreas,” said Dr. Richard Bergenstal, diabetes chief at Park Nicollet, a large clinic in St. Louis Park, Minn. “Before we said it’s a dream. We have the first part of it now and I really think it will be developed.”

He led the company-sponsored study and gave results Saturday at an American Diabetes Association conference in Chicago. They also were published online by the New England Journal of Medicine.

The study involved people with Type 1 diabetes, the kind usually diagnosed during childhood. About 5 percent of the 26 million Americans with diabetes have this type. Their bodies don’t make insulin, a hormone needed to turn food into energy. That causes high blood-sugar levels and raises the risk for heart disease and many other health problems.

Some people with the more common Type 2 diabetes, the kind linked to obesity, also need insulin and might also benefit from a device like an artificial pancreas. For now, though, it’s aimed at people with Type 1 diabetes who must inject insulin several times a day or get it through a pump with a narrow tube that goes under the skin. The pump is about the size of a cellphone and can be worn on a belt or kept in a pocket.

The pumps give a steady amount of insulin, and patients must monitor their sugar levels and give themselves more insulin at meals or whenever needed to keep blood sugar from getting too high.

A big danger is having too much insulin in the body overnight, when blood-sugar levels naturally fall. People can go into comas, suffer seizures and even die. Parents of children with diabetes often worry so much about this that they sneak into their bedrooms at night to check their child’s blood-sugar monitor.

In the study, all patients had sensors that continuously monitored their blood sugar. Half of them had ordinary insulin pumps and the others had pumps programmed to stop supplying insulin for two hours when blood-sugar fell to a certain threshold.

Over three months, low-sugar episodes were reduced by about one-third in people using the pump with the shut-off feature. Importantly, these people had no cases of severely low blood sugar — the most dangerous kind that require medical aid or help from another person. There were four cases in the group using the standard pump.

“As a first step, I think we should all be very excited that it works,” an independent expert, Dr. Irl Hirsch of the University of Washington in Seattle, said of the programmable pump.

The next step is to test having it turn off sooner, before sugar falls so much, and to have it automatically supply insulin to prevent high blood sugar, too.

Dr. Anne Peters, a diabetes specialist at the University of Southern California, said the study “represents a major step forward” for an artificial pancreas.

One participant, Spears Mallis, 34, a manager for a cancer center in Gainesville, Ga., wishes these devices were available now. He typically gets low-sugar about 8 to 10 times a week, at least once a week while he’s asleep.

“I would set an alarm in the middle of the night just to be sure I was OK. That will cause you to not get a good night of rest,” he said.

His “smart pump” stopped giving insulin several times during the study when his sugar fell low, and he wasn’t always aware of it. That’s a well-known problem for people with Type 1 diabetes — over time, “you become less and less sensitive to feeling the low blood sugars” and don’t recognize symptoms in time to drink juice or do something else to raise sugar a bit, he said.

Besides Medtronic, Johnson & Johnson and several other research groups are working on artificial pancreas devices.

Read more: http://www.foxnews.com/health/2013/06/23/doctors-make-progress-toward-artificial-pancreas/#ixzz2XRpRvDmO

New protein found to control deadly cancer metastasis

Stopping cancer’s spread: New protein found to control deadly cancer metastasis

By Loren Grush

Published June 15, 2013

FoxNews.com
  • Metastatic breast cancer final.jpg

    This image shows metastasized human breast cancer cells (magnified 400 times, stained brown) in lymph nodes. (National Cancer Institute)

Researchers have found a critical element that may explain why some cancers spread farther and faster than others, a discovery that could lead to one of the Holy Grails of cancer treatment: containing the disease.

Scientists from the University of California, San Diego School of Medicine have identified a protein that seems to serve as a switch, regulating the spread of cancer from the primary tumor to distant spots in the body – a process known as metastasis.  The protein is used by embryo cells during early development, but then disappears from the body after an individual comes out of the womb.

According to the researchers, the protein was only found in people with metastatic cancer, leading them to belive that the regulation of this protein could potentially stop the dangerous progression of this killer disease.

“The protein seems to get turned off (after embryonic development), and we’ve only identified a small sub-population of cells that can turn it on,” lead investigator, Dr. Thomas Kipps, Evelyn and Edwin Tasch Chair in Cancer Research at UC San Diego, told FoxNews.com.  “By and large, we looked at the brain, lungs, heart, kidney and other organs, and it wasn’t there. Then we looked at a variety of cancers – breast, ovarian, prostate – and it seems to be a common theme to express this embryonic protein.”

Kipps said they stumbled upon this protein while conducting immunotherapy research on leukemia patients, in which they reengineered the patients’ leukemia cells and injected them into their bodies.  This technique is meant to enhance the body’s natural immune response to cancer.

“We did have patients respond to their leukemia cells, but part of the immune response was a cell that targeted (this protein),” Kipps said. “Anecdotally, these patients did well. So we wanted to know (what) it is doing.”

The protein, called Receptor-tyrosine-kinase-like Orphan Receptor 1, or ROR1, is involved in a process known as epithelial mesenchymal transition (EMT), which occurs during early embryonic development.  Throughout the EMT process, embryonic cells migrate and eventually grow into new organs.

Kipps explained that ROR1’s role during embryonic development may explain how it helps cancers to grow and spread.

“It’s a protein that sits on the surface of the cancer, so it has the ability to bind to other proteins outside of the cell and may have the ability to bind to other proteins on the cancer cell membrane,” Kipps said.  “Half of it sits outside the cell and half inside the cell.  It’s like having an antenna sticking out, and then you have a transmitter below the surface.  That transmitter conveys important signals to the cell, and it seems to allow itself to assume a better state of migration.”

In a series of lab experiments, Kipps and his team found that high-level expression of ROR1 in breast cancer cells were associated with higher rates of relapse and metastasis.  However, when they used therapies to silence the expression of ROR1, the researchers were successfully able to inhibit metastatic spread of the cancer cells in animal models.

“It’s like taking the antenna away; you can’t hear the radio or TV station anymore,” Kipps said. “The cancer cells become more fragile and don’t grow as well.”

After cardiovascular disease, cancer is the second leading cause of death in the United States, with 575,000 Americans dying from the disease each year. One of the scariest aspects of receiving a cancer diagnosis is learning how far the disease has spread throughout the body.  An individual’s prognosis can vary greatly depending on the extent of the cancer’s progression; if it has spread too much, modern treatments can do little to stop it. This explains why the vast majority of cancer-related deaths – approximately 90 percent – are due to metastasis of the original tumor cells.

Since ROR1 is only expressed in cancer cells, Kipps said it provides a singular target for future therapies aimed at containing and reversing metastasis.  Then, once the cancer becomes more localized, traditional therapies such as radiation and surgery can help remove the original tumor from the body.

“I think it’s an exciting time for cancer treatment,” Kipps said.  “I do think it’s a great time for discoveries, and hopefully we’ll be able to cure many forms of cancer – turning it into a bad experience rather than a life threatening event.”

The research was published in the June 15 issue of the journal Cancer Research.

Read more: http://www.foxnews.com/health/2013/06/15/stopping-cancer-spread-researchers-identify-protein-that-regulates-cancer/#ixzz2XRomenXr

ASA Helps Improve Educational Excellence

The Arizona School Administrators (ASA) Association recently held a three day conference to bring Arizona education leaders up to speed on the latest issues and legislation.  The Mission of Arizona School Administrators is to promote and support educational excellence in school leadership.

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The summer ASA conference dates were June 9, 10 and 11.  It is an opportunity to discuss and share best practices and strategies to improve education.  Our congratulations to organizations working together to improve our future leaders.

Valley Schools was among the supporters of the ASA conference.  They had a presence at an informative booth with preferred partner VSP in support of ASA’s Mission to promote and support educational excellence in school leadership and talk to participants about Valley Schools services and VSP’s diabetic eye health program.  Valley Schools provides services to tens of thousands of staff and dependents in Arizona school districts.  The services include workers’ compensation insurance, liability insurance, and health and other employee benefits.

Valley Schools received an award from ASA Executive Director, Debra Duvall for their continued support as a 3 star sponsor.  (pictured above.)  It is good to see that the health and wellness of our students and their teachers and families is also considered for future educational planning.  Without good health, good education is much harder to achieve.

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Vegetarians May Live Longer – According to Study

Vegetarians May Live Longer – According to Study

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Vegetarians may live longer than meat-lovers, new research suggests. Scientists in California analyzed the diets of 73,300 Seventh Day Adventists, and found that vegetarians were less likely to die from any cause or from cause-specific reasons, except for cancer, compared to those who ate meat. “Certain vegetarian diets are associated with reductions in all causes of [death] as well as some specific causes including heart disease, kidney-related deaths and endocrine disease-related death such as diabetes,” said lead researcher Dr. Michael Orlich, a preventive medicine specialist at Loma Linda University in Loma Linda.

The big question is why, and the study wasn’t designed to answer that, Orlich noted. “Reductions in meat in the vegetarian diet may be part of it, but it may be due to higher quantities of plant foods,” he added, although it is also possible that vegetarians may lead more healthy lives.

vegetarian-IQ

For the study, the researchers used a food questionnaire to assess dietary patterns and looked at men and women who adhered to one of five diets: non-vegetarian; semi-vegetarian (eats meat or fish no more than once a week); pesco-vegetarian (consumes seafood); lacto-ovo-vegetarian (includes both dairy products and eggs), and vegans, who don’t eat any animal products.

During the course of the more than five-year study, 2,570 people died. But vegetarians were about 12% less likely to die from any cause than their meat-eating counterparts, the study showed. And the survival edge seemed to be stronger in men than women. In addition, the researchers noted that vegetarians tended to be older and more educated, exercised more and were less likely to drink alcohol or smoke than their carnivorous counterparts.

The study also did not pinpoint which type of vegetarian diet provides the greatest survival benefit because the vegetarian diets were compared to non-vegetarian diets only, not to one another. The research team now plans to look at the patterns of food consumption seen in each vegetarian diet. “We want to see what they eat more or less of, and then investigate the effect on mortality or associated with specific foods,” Orlich said. “Are there particular foods that account for most of this apparent association? Is the lack of meat the big issue, or is the amount of plant-based foods responsible?”

Fruits!

Nancy Copperman, a dietician at North Shore Long Island Jewish Health System in Great Neck, NY, said that the fiber in vegetarian diets may be what’s driving the survival edge. “It’s not just fruit and vegetables, but all types of fiber [including whole grains] that seems to really reduce health risks,” she said. “The new study pushes the literature that we are building about the impact that whole grains and fruits and vegetables can have on your health.”

But Rebecca Solomon, a nutritionist at Mount Sinai Medical Center in NYC, noted that plant-based diets can be beneficial only if they are done right. “You need to make sure that you have a good nutrient balance despite omission of certain or all animal products,” she added. For example, she said, some vegetarians may overdo the carbohydrates and fats, which can lead to weight gain and its associated health problems. “My general advice is that you don’t need to be a vegetarian to improve your health and lifespan,” she said. “Eating lean protein such as poultry and fish and following some of the principles of the Mediterranean diet, which includes generous amounts of vegetables, fruits and whole grains and is not red-meat heavy, can be very beneficial.”

For a diehard vegan like Stephanie Prather, 45, the news may come as no surprise. Rather hasn’t eaten any animal products in more than two years, and actually changed careers midstream to become a vegan pastry chef. Her impetus was a high-profile documentary about the benefits of a plant-based diet. Not only does she feel better, Prather said, but she has lost close to 20 pounds since giving up all animal products in her diet.

The latest research follows a British study released in January that showed vegetarians had about a third less risk of hospitalization or death from cardiovascular disease than meat-eaters did. The study, reported in the American Journal of Clinical Nutrition, included nearly 45,000 people from England and Scotland, about a third of whom were vegetarians. And the research showed that the vegetarians had a 32% lower chance of being hospitalized or dying from heart disease. They also typically had lower blood pressure and cholesterol levels than non-vegetarians.

Source: Copyright 2005-2013, WebMD, Inc. All rights reserved

Provided by the Valley Schools Employee Benefits Trust (VSEBT) from their June 2013 Monthly Wellstyles Newsletter, by Rebecca McGonigle.

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Cancer Research Breakthrough

Cancer Metastasis: Researchers Find ‘Chase And Run’ Mechanism In Cancer Spread

Posted: 06/17/2013 2:14 pm EDT  |  Updated: 06/18/2013 10:56 pm EDT

Scientists have identified the mechanism by which cancer is able to spread throughout the body, after discovering a cell movement process called “chase and run.”

The findings, published in the journal Nature Cell Biology, detail how neural crest cells, which are similar to cancer cells, “chase” placode cells, which are equivalent to healthy cells, when they are placed next to each other. In turn, the placode cells “run away.”

“We use the analogy of the donkey and the carrot to explain this behavior: the donkey follows the carrot, but the carrot moves away when approached by the donkey,” study researcher Dr. Roberto Mayor, of University College London, said in a statement. “Similarly the neural crest cells follow the placode cells, but placode cells move away when touched by neural crest cells.”

Cancer-Research

Even though the scientists didn’t work with actual cancer cells, they explained that the process is likely comparable. They said that understanding this process could help them potentially find a way to target cancer cells before they spread — metastasize — to other parts of the body, which dramatically raises death risk for patients.

Recently, researchers at the University of California, San Diego, also gained some ground in understanding cancer metastasis in research published in the journal Cancer Research. Fox News reported on the finding, which showed that there is a protein that helps to regulate the actual spread of cancer cells to other parts of the body.

“The protein seems to get turned off (after embryonic development), and we’ve only identified a small sub-population of cells that can turn it on,” study researcher Dr. Thomas Kipps, Evelyn and Edwin Tasch Chair in Cancer Research at UC San Diego,told Fox News. “By and large, we looked at the brain, lungs, heart, kidney and other organs, and it wasn’t there. Then we looked at a variety of cancers — breast, ovarian, prostate ––and it seems to be a common theme to express this embryonic protein.”

Live Longer: Strategies To Add Extra Years To Your Life

Live Longer: Strategies To Add Extra Years To Your Life

 

Live Longer

By Corrie Pikul

While we’re waiting for some brilliant chemist to discover the elixir for eternal life, these simple, doable strategies can help you buy a little extra time.

1. Stand up while reading articles like this one… and (especially) while watching TV. Australian researchers determined that every hour of couch-potato-ness docks 21.8 minutes from a person’s life.

2. Join a book club. People with a solid group of friends are 50 percent more likely to survive at any given time than those without one, found Carlin Flora while researching her book Friendfluence. Researchers from Brigham Young University calculated that being a loner is an equivalent mortality risk to smoking 15 cigarettes a day, says Flora — even riskier than being obese or not exercising.

3. Better yet, join a French Words et Wine or Mandarin for Beginners group. Canadian scientists used CT scans to compare the brains of bilingual and monolingual Alzheimer’s patients and found that being able to speak multiple languages seemed to keep patients cognitively agile for longer. Protective benefits start in childhood, but the research suggests that picking up a new language later in lifemay also help stave off dementia.

4. Nurture your java habit. Drinking four cups of brewed coffee (or the amount of caffeine that you’d get in one Starbucks venti) a day has been linked to as much as a 50 percent lower risk of developing type 2 diabetes, a 25 percent lower risk ofendometrial cancer, and a 20 percent lower risk for depression. (Keep in mind that this daily amount may cause those who are new to the coffee habit to feel jittery and have trouble sleeping).

5. … or fill your mug with tea. In a study of more than 40,500 Japanese men and women, those who drank five or more cups of green tea every day had the lowest risk of dying from heart disease and stroke. Other studies involving black tea showed similar results — but adding milk may cancel out tea’s cardiovascular benefits. Whatever color tea you choose, drink it black, or with honey and lemon.

Can a Healthy Diet Reverse Diabetes?

Can a Healthy Diet Reverse Diabetes?

A good diet and exercise are essential to managing type 2 diabetes. But can committing to a healthy diet really reverse the condition? Experts say it’s possible for some.

Medically reviewed by Niya Jones, MD, MPH

A well-balanced, healthy diet is often touted as the best way to prevent, manage, and treat a whole host of conditions, from cancer to heart disease. And now, research indicates that a healthy diet may be enough to reverse type 2 diabetes, especially when combined with a regular exercise program. In fact, one small study conducted in the United Kingdom found that people with type 2 diabetes were able to reverse the condition by following a calorie-restricted diet. Although a healthy dietis not enough to reverse diabetes in everyone, it is the first step for anyone managing the condition.

“Nutrition is the most important first-line treatment for diabetes and pre-diabetes,” explains Betul Hatipoglu, MD, an endocrinologist at the Cleveland Clinic in Ohio. “Restricting calories will improve blood sugar levels dramatically, most likely by affecting the liver’s sugar production.”

Creating the Right “Diabetes Diet”

It’s important to understand that, in this context, the word “diet” means the food that you eat every day — not a short-term fix to lose weightor temporarily treat diabetes. “The diet you choose should be something you can follow the rest of your life,” says Susan Spratt, MD, an endocrinologist at Duke Medicine in Durham, N.C. “That’s why we don’t recommend fad diets, like those that eliminate multiple food groups from your diet, because those diets are unsustainable.”

Your diabetes diet, which is best when personalized for your needs, shouldn’t just focus on cutting calories, but also make the most of the calories you eat. “A healthy diet is rich in fruits, vegetables, whole grains, low-fat dairy, and heart-healthy oils,” says Angela Ginn, RD, a certified diabetes educator, program coordinator at the University of Maryland Center for Diabetes and Endocrinology at Maryland General Hospital in Baltimore, and a spokeswoman for the Academy of Nutrition and Dietetics. “It encourages healthy food preparation, such as baking, broiling, roasting, and grilling meats, as well as lowering your salt intake.”

Another tenet is limiting saturated fats, says Hatipoglu, who recommends that less than 7 percent of daily calories come from saturated fats. It’s also important to avoid trans fats and to limit cholesterol intake to no more than about 200 milligrams daily.

Hatipoglu recommends sticking to a generally low-carbohydrate diet and choosing lean proteins, which help to keep you full and energized without too much added fat. Good protein choices include lean fish and poultry without skin. If you opt for beef or pork, choose the leanest cuts, avoid frying your food, and trim off any fat. Dairy products can also be part of a healthy diabetes diet, but stick to non-fat or low-fat options for milk, yogurt, cheese, and other dairy.

Here are general recommendations for a healthy diet to help manage diabetes:

  • Eat three meals each day, with healthy snacks in between as needed to regulate blood sugar.
  • Stick to a regular meal schedule, eating at the same time each day.
  • Eat appropriate portion sizes.
  • Eat more vegetables.
  • Sip water or low-calorie beverages throughout the day.

Factors to Reverse Diabetes

In addition to your diet, exercise is an essential part of keeping diabetes under control, and maintaining a healthy weight is a key goal. “Reversing type 2 diabetes is possible with diet and exercise, especially if it is newly diagnosed, but it’s more likely if weight loss can be achieved and, of course, maintained,” says Hatipoglu.

Still, even if you maintain a healthy weight and diet, diabetes reversal is not guaranteed. “We see ‘skinny’ type 2 diabetics as well, so it is not always possible to reverse diabetes,” says Hatipoglu.

If you are able to reverse diabetes, the battle is still far from over. “Diabetes is a chronic condition,” explains Hatipoglu. “Some of our patients will do very well with diet and exercise, but another stress in their life — such as another illness, a medication, or a psychological stress — might push them back to the diabetic state. So, it is important to work with a health care provider and monitor blood sugars to catch problems early.”

Also, Spratt says to remember that diabetes is a progressive condition. Even though your diabetes may be under control now, you might eventually need medications as part of your diabetes treatment. Eating a healthy diet, however, can help stave off diabetes complications and keep other chronic conditions, like high blood pressure, in check. There is simply no downside to eating a healthy diabetes diet.

People Underestimate Number Of Calories They Eat At Fast Food Chains

 

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A new report in the BMJ has revealed that people are seriously underestimating the number of calories they are consuming at fast food restaurants. Teenagers are particularly unaware of their calorie intake with most of them assuming that the meals contain more than one third fewer calories than they actually have.

Lead researcher, Jason Block, an HMS assistant professor of population medicine at Harvard Pilgrim Health Care Institute, said: “We found that people, especially teens, are consuming more calories than they think they’re getting when they eat fast food.” The study was the first large scale analysis of its kind to evaluate the difference between what adults and teens estimated the calorie content of their fast food meals were versus their real calorie content. 34% of teens underestimated the number of calories in their meals followed by 23% adults who were parents of school-age children and 20% of other adults.

In 2011 and 2012, the researchers surveyed close to 3,400 adults, teens, and children at 89 different fast-food outlets in the New England area. Adults, on average, ordered meals with 836 calories and underestimated the calorie count of their meals by around 175 calories. Teens tended to order meals containing around 756 calories and underestimated the calorie count by 259—the largest gap. An overwhelming 25% of the participants thought their meals had 500 fewer calories than they actually had.

They also saw difference by food chain. Of all the different fast food chains observed, people who ate at Subway were the most likely to underestimate the number of calories in their meals by the largest amount. Block noted that: “participants also ordered side dishes with more calories at Subway. Dieticians also falsely considered equivalent calorie meals to be lower calorie at Subway than McDonald’s. Our study extends these findings by showing that this “health halo” is unique to Subway across the six chains and is present across age groups in a diverse sample.” He added, “These findings tell us that many people who eat at fast-food restaurants may not be making informed choices because they don’t know how many calories they’re consuming. Having the information is an important first step for anyone wanting to make changes.”

The authors emphasized that during the time of this study, the fast food chains didn’t post calorie information on their menus. The research was conducted by the Harvard Medical School/Harvard Pilgrim Health Care Institute in conjunction with leaders of the Massachusetts and Connecticut Departments of Public Health.

National figures for 2007-2010 show that on average, adults in the U.S. get more than 11% of their daily calories from eating fast food. Fast food chains continue serving meals associated with serious health risks. Their meals may sound and look extremely appealing, but they are actually incredibly fattening and can eventually harm human health if eaten regularly over the long-term.

Provided by the Valley Schools Employee Benefits Trust (VSEBT) from their June 2013 Monthly Wellstyles Newsletter, by Rebecca McGonigle.