Friday 22 January 2016

WebMD.com

Webmed , my favourite source of the latest research in the treatment if Diabetes:


7 Tips for Tasty, Diabetes-Friendly Meals

By Amy Capetta
WebMD Feature
You can have delicious food that meets your needs for managing yourtype 2 diabetes. You have more options than you may realize.
“It all comes down to having the right ingredients on hand for making meals both diabetes-friendly and delicious,” says Jackie Newgent, RD, author of The With or Without Meat Cookbook: The Flexible Approach to Flavorful Diabetes Cooking.
Use these seven ideas to liven up your standby dishes in a flash.

1. Try the half-and-half pasta trick.

Pasta is a favorite dish for many people. It's no secret that the whole-grain versions are the most nutritious. They’re rich in vitamins, minerals, phytochemicals, and fiber, which helps with digestion, makes you feel full, and doesn’t raise blood sugar as much as white pasta does.

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If whole wheat spaghetti doesn’t whet your appetite, dietitian Bonnie Taub-Dix recommends mixing some (no more than half) white semolina pasta with it.

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Also, cut veggies like zucchini, squash, and carrots into spaghetti-like strips using a mandolin slicer or a spiralizer. Top it off with a few meatballs or some chicken, so you'll eat less of the pasta and get some protein with your meal, says Taub-Dix, author of Read It Before You Eat It.

2. Shake up a spicy blend.

Empty your saltshaker, and fill it with a mix of your favorite seasonings and spices. Use it to liven up eggs, salads, poultry, lean meats, and veggies, Taub-Dix suggests.
Brands sold online and in supermarkets have a variety of flavorful and aromatic blends, including Italian, Southwest chipotle, or a garlic- or peppercorn-based blend.
Choose the salt-free versions. Most people get too much sodium, which can make you more likely to get high blood pressure.

3. Pick pistachios.

You'll get fiber and protein, as well as several vitamins, minerals, andphytonutrients. “Also, research indicates that pistachios may help decrease the blood sugar response in the body when coupled with a carbohydrate,” Newgent says.
Pistachios can be more than just a crunchy snack. Add them to a brown rice pilaf or a salad, Newgent suggests.

4. Replace fatty foods with avocado.

Avocados are rich in fat, but it's a good kind of fat.
“Eating healthful fats, as part of a Mediterranean diet, may be beneficial for blood sugar management, and potentially more helpful than a low-fat diet for weight management,” Newgent says.
Avocados are also a good source of magnesium, Newgent says.
She mentions a study in which people with prediabetes who had more magnesium in their diets were less likely to develop type 2 diabetes. That study doesn't prove that magnesium was the reason, but the researchers concluded that the magnesium may have been helpful.
Still, avocados are high in calories, so limit how much you eat.
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Try pairing eggs with sliced avocado, or dot a dollop of guacamole on a lean, grilled steak.

5. Get creative with yogurt.

“Plain Greek yogurt shouldn’t just be considered a creamy, high-protein breakfast or snack. It can be a delicious ingredient in cuisine as well,” Newgent says.
She suggests pairing yogurt with lemon juice, garlic, and a touch of extra-virgin olive oil for use as a marinade on chicken. “It’ll make the poultry extra juicy when roasted or grilled.”

6. Sprinkle on the cinnamon.

Considered one of the world’s oldest-known spices, cinnamon has been studied for possible health benefits for people who have type 2 diabetes. Though the findings have been mixed, Newgent says, “a recent study shows enjoying it may help decrease blood sugar, ‘bad’cholesterol (LDL), and triglycerides in the body.” Don't expect it to make a huge difference in normal portions. It's still more of a flavoring than anything else.
Mix cinnamon into a turkey burger (“add fresh mint, too, for a Middle Eastern flair," Newgent says), or a vegetable chili, or add it to a baked sweet potato, cottage cheese, or an apple you're going to heat in the oven or microwave.

7. Glaze your snacks and desserts.

While you’ll only use a small amount, some research shows that vinegar may lower blood sugar. You can get balsamic glazes online and in supermarkets. Drizzle them on pizza, fish, meats, veggies, or fruit.

“I love to drizzle a balsamic glaze on top of berries or melon,” Taub-Dix says. “You’ll be surprised how that little glaze can make a difference in how your fruit looks and tastes. It just gives it a little jazz!”


Wednesday 20 January 2016

The 'diabetic' shopping trolley

Good day my worldwide friends with and without diabetes. Very often I get asked about what to do about a suitable diet. Basically there is no fast and furious diabetic diet. One should eat normal food, moderately so however, and add or omit certain foodstuffs which could unnecessarily raise blood sugar levels.

Today we go for the 'diabetic' pantry. I found this very helpful for my shopping lists. Enjoy and learn:

The 'diabetic' shopping trolley
The chances are that you have and that you cringed inwardly at the check-out counter when comparing the contents of your trolley to that of others. There's no need to do so anymore, says leading dietetics consultant and nutrition coach, Megan Pentz-Kluyts.
"All it takes to develop sound 'trolley habits' is to recreate your shopping list under six key groups of food rather than randomly listing foodstuffs by item name," she says. "This will ensure that you quickly develop an awareness of what constitutes a balanced diet for your family."
The optimum trolley should contain a wide variety of foods and incorporate items from each of the groups listed below:
Group 1 – Starchy foods (high in carbohydrates):
These foods should be part of every meal and snack and therefore should make up a large proportion of your trolley.
  • Whole-grain bread
  • Whole-wheat pasta (durum wheat)
  • Whole-grain biscuits
  • Long-grain rice (e.g. Basmati, white and brown)
  • Potatoes
  • Pumpkin or butternut
  • Peas
  • Mealies / corn on the cob
  • Maize meal
Group 2 – Fruit and vegetables:
Five servings of fresh or frozen fruit and vegetables should be eaten every day, so these should also make up a large proportion of your trolley:
  • Fresh fruit
  • Dried fruit (any, but in smaller portions)
  • Fresh or frozen vegetables
  • Fresh fruit juice (100% pure/unsweetened)
Preferably select fresh fruit and vegetables that are grown locally and in season. One fruit serving can be replaced with one serving of 100% pure unsweetened fruit juice (200ml).
When cooking these, choose methods that preserve the nutritional value, for instance steaming, baking or microwaving with a little water.
Group 3 – Chicken, meat, milk, fish and eggs (rich in protein):
Protein should be included in every meal or snack, in smaller amounts than starchy foods and fruit and vegetables. A serving is usually the size of the palm of your hand and the same thickness as your hand. Try to include fish twice a week, skinless chicken 2 – 3 times per week, and lean red meat 2 – 3 times per week.
  • Oily fish varieties (e.g. salmon, trout, pilchards or sardines)
  • Chicken breasts (skinless)
  • Lean beef (e.g. beef stroganoff, mince meat, steaks or schnitzel without any visible fat)
  • Ostrich meat
  • Milk (2%, low-fat or fat-free varieties)
  • Yoghurt (2%, low-fat or fat-free varieties)
  • Cheese, unprocessed vs. processed varieties (low and medium fat; soft and hard cheeses like cottage cheese, ricotta, feta, mozzarella, and edam)
  • Eggs (if you don't have any cholesterol problems, you can include an egg a day, as a replacement for meat/chicken/fish in a meal).
Group 4 – Legumes and soya:
Try to include either the dried or tinned versions of these in dishes at least once or twice a week. They're low in fat, provide fibre, are a source of plant protein and they're economical. Aim for at least one vegetarian main meal per week.
  • Dried / split peas
  • Chickpeas
  • Beans (e.g. red kidney, sugar and baked beans)
  • Lentils
  • Soya (e.g. tofu)
Group 5: – Fats and oils:
Fats should be used sparingly. Choose soft tub margarine that's either low- or medium-fat, and higher in poly- and monounsaturated fats.
For the most benefit, buy extra-virgin olive oil to use sparingly as a salad dressing, as opposed to cooking with it. Should you need to "flash fry" food, use cooking spray or canola oil. It's always a good idea to invest in a good non-stick frying pan and to use a moderate heat setting to prevent sticking. This way, you need very little additional fats and oils when cooking.
Check the fat levels in sauces that you buy for pastas or other dishes. Cream-based sauces tend to be quite high in fat, so rather choose tomato-based ones.
Good fats to include are:
  • Mixed nuts and seeds
  • Avocado
  • Vegetable oils (e.g. grapeseed, olive, canola, sesame and sunflower oils)
Group 6 – Treats (sugar and sweets):
Foods such as sugar, sweets, sugary fizzy drinks, honey and syrup are high in sugar and should be used sparingly. Your trolley shouldn't contain too many of these foods.
"Making a change and creating a shopping list that emphasises healthy choices and food options will work wonders for you and your family. It will change the way you think about food and could be a decisive step towards a healthier, more energetic future," Pentz-Kluyts says.
(Magna Carta, October 2009) 

Saturday 21 November 2015

Healthy Diabetic Lifestyle: CONSISTENCY IS THE MAGIC KEY

Healthy Diabetic Lifestyle: CONSISTENCY IS THE MAGIC KEY: Hello my dear diabetic friends, Consistency is a word which many people don't like. It points to boring all over and over b...

CONSISTENCY IS THE MAGIC KEY





Hello my dear diabetic friends,
Consistency is a word which many people don't like. It points to boring all over and over behaviours and attitudes. If you see it in a creative or other context, this might even be true., here variety would be the spice of life.
This does not mean that diabetic consistency in treatment has to be boring. The variety of delicious healthy recipes, of lifestyle options in exercise and (Oh my! I hear you say) even sports and other recreational activities is anything but mindlessly boring. The consistency refers to the actual treatment, eating times, medication times and a relatively regular daily lifestyle routine.

IF YOU ARE LUCKY AND BLESSED ENOUGH TO KNOW ABOUT YOUR DIABETIC STATUS YOUR LIFE CAN BE PROLONGED DRASTICALLY AND YOU CAN BE SPARED POTENTIAL BLINDNESS, AMPUTATIONS, KIDNEY FAILURE AND ALL THE OTHER NASTIES RELATED TO NON-OR BAD DIABETES MANAGEMENT.

My last A1Cmeasurement (4.11.2015) was 5. This should be even a healthy non-diabetic person's, dream. A1C is the approximate m/mol over a couple of weeks. How did I do it? I tried to understand Diabetes and visualized the alternatives to having it under control. And that's my very best advice to you today and always.

Diabetes management will come as natural as not to forget to put on your pants in the mornings, if and when you see the success you achieved with the measures you apply to your condition. Remember, Diabetes is not (yet) reversible. The only way of living a long life with it, is making friends and treating it like putting your shoes on to not get hurt unneccessarily.

I find this information so important, that once again I want to stress it by posting an article compiled by the real medical experts. Enjoy!

CONSISTENCY IS KEY



If you have been recently diagnosed with type 2 diabetes, you may be feeling overwhelmed. The thought of checking your glucose levels, planning meals, and remembering to take medications at specific times can be daunting. But while it does take some diligence, you can establish a daily routine that will have you managing your condition with minimal impact on your day-to-day activities.

Individuals who maintain healthy blood glucose levels all cite one key factor: consistency. “It doesn’t mean you can’t be flexible, but there is something comforting about sticking to a routine,” says Nancy Sayles Kaneshiro, co-author of Weighty Issues: Getting the Skinny on Weight Loss Surgery, who is living with type 2 diabetes.
“It’s critical to maintain a regular schedule,” says Jim Smith, who was diagnosed with diabetes in 1999. Billy Brennan, who developed type 2 diabetes in 2010, agrees: “A schedule provides a way to balance both my food and exercise to keep my blood sugars in a healthy range.”
Although the word schedule may make you cringe, creating structure to your day doesn’t mean you can’t have fun or enjoy food. It simply means you will become consistent with the times you eat, exercise, and check your glucose levels. “Scheduling took some time to develop, but now it’s become routine,” says Smith. “As long as I don't deviate from my schedule, I can count on my sugars staying steady,” Brennan adds.
A Schedule That Works For You
Just like the treatment plan for type 2 diabetes is customized for each individual, there is no one-size-fits-all schedule for managing the condition. However, there are a few common denominators to a successful routine that you can use when developing your own plan.
First, make sure you are consistent with your meal and snack times each day. This will ensure you do not wait too long between meals, which can cause a drop in glucose levels, or consume meals and snacks too close together, which can spike glucose levels. For the best results, start your day with a walk and then a well-balanced breakfast containing whole grains and lean protein within one hour of exercising. Smart options include an egg with a slice of whole-grain bread or a ½ cup of low-fat cottage cheese with fresh fruit.
Exercise is another key component in a successful diabetes management plan. Regular physical activity helps to lower blood glucose levels and insulin resistance while promoting a healthy body weight. Think of exercise in the same way you would any appointment. Select a time that works for you and write it on your calendar. By making an “appointment” with yourself, you’re more likely to commit to your exercise plan. What’s the best time to schedule exercise? An early morning workout was the most popular choice of those who are successfully managing diabetes. By exercising at the beginning of the day, you'll ensure that you get your workout in regardless of what else pops up in your schedule.  
Tracking Your Glucose —  and More
Tracking is essential for healthy glucose management. Making sure to test your blood glucose levels regularly, on a schedule recommended by your doctor or diabetes educator, can help you to understand trends in glucose levels and determine if your routine is working for you or if it needs to be adjusted. “Monitoring my daily fasting blood sugar is a way that I plan what I need to eat the next day,” says Smith.
And it’s not just tracking blood glucose levels that can be helpful. Recording your daily exercise, food intake, and even your emotions and stress levels can help you to understand how all of these factors impact glucose levels. This will enable you to really understand what aspects of your routine positively or negatively impact your diabetes management efforts.
Be Prepared for Mix-Ups in Your Routine
It’s important to remember that while following a consistent schedule can help you to best manage the condition, it doesn’t mean that you can never vary from your schedule. While Kaneshiro admits that traveling and dining out can be a challenge, she stresses the importance of not using it as an excuse to drastically stray from your management plan. “For me the key is simply mindfulness,” says Brennan. “I look for a gym in the hotel or find a place to walk to continue to exercise. I also try to book a room that has a small kitchen area where I can cook my own food.” With a little planning, you can continue to successfully manage diabetes no matter where life takes you.
A Sample Schedule of Someone Managing Diabetes
6:30 a.m.: Wake up and test fasting glucose levels. Record numbers.
6:45 a.m.: Morning walk (45 minutes of brisk walking). (Even less will do nicely, thank you, Barbara)
7:30 a.m.: Eat breakfast (2 scrambled eggs, 1 slice 100-percent whole-grain toast with 1 teaspoon butter, and 1 small apple) and take medications.
12:00 p.m.: Eat lunch (3 cups spinach salad topped with 3 ounces grilled chicken, 1 tablespoon chopped walnuts, and 2 tablespoons dried cranberries with 2 tablespoons vinaigrette dressing and a side of 1 cup low-fat yogurt).
3:30 p.m.: Have an afternoon snack (2 tablespoons natural peanut butter on celery).(or a  small toast, yummy, Barbara)
6:30 p.m.: Eat dinner (5 ounces salmon with 2/3 cup brown rice and 2 cups steamed broccoli) and take medications.
9:00 p.m.: Test blood glucose and record numbers. Bedtime.
Last Updated: 8/28/2015

Tuesday 27 October 2015

REASONS TO BE POSITIVE WITH DIABETES

I don't say I write all articles myself, but when I see somethih encouraging I post if for you, my dearest diabetic friends. Enjoy reading, and, like Maria,

MAKE THE BEST OUT OF IT







Gaining Control of Type 2 Diabetes: Maria’s Story

For a California woman, working with a diabetes educator led to eating better and exercising more. Now, Maria has lost weight and needs fewer medications.

In the three years since Maria Ibarra was diagnosed with type 2 diabetes, she's lost 35kg. “I’m still looking to lose the last 20,” says the Sacramento, California, resident.
At 1.65 cm inches she weighed 120 kg but is now at 85 kg Thanks to her healthier diet and new exercise routine, Ibarra, 40, says she was able to better control her blood sugar and reduce her need for diabetes medications, even before she had significant weight loss.  
People with diabetes who have even a small weight loss can see many benefits, says Deborah Greenwood, PhD, RN, president of the American Association of Diabetes Educators and a program coordinator and diabetes clinical nurse specialist at the Sutter Health Integrated Diabetes Education Network in Sacramento.
Losing weight can help you better manage your blood sugar, says Greenwood. Weight loss can also help reduce your risk for potential diabetes complications, including stroke and heart disease. And that’s important because the risk of stroke and heart disease is more than two times greater in people with diabetes than it is in those who don't have the disease, according to the National Diabetes Information Clearinghouse.
Adopting Healthier Habits
Ibarra says she was inspired to change her diet after she went to Greenwood for advice about how to lower her A1C, which shows how well you control your diabetes over time. Although people will have different A1C targets depending on their diabetes history and overall health, the National Institutes of Health recommends keeping your level below 7 to help reduce your risk of complications from diabetes. At the time, Ibarra’s A1C was at 7.7.
Greenwood enrolled Ibarra in a study about the use of paired testing (testing before and after meals) and self-monitoring to help people better manage their blood sugar. Greenwood’s study was published in February 2015 in the American Journal of Nursing.
“Checking my blood sugar before and two hours after eating brought it all together for me,” Ibarra says. “Before, I didn’t really know what my blood sugar levels meant, and I didn’t see how what I ate affected me.”
By keeping records, she discovered that she manages blood sugar better when she has her carbs for breakfast rather than at dinner. Also, she found that eating small meals with some protein every two hours helps her ward off hunger and stick to the healthy eating plan that Greenwood helped design.
Ibarra’s advice to others trying to stick to a healthy eating plan: Don’t give up your favorite foods -- just learn how to make them healthier. Greenwood, for instance, showed her how she could still have tortillas and rice by eating smaller portions and adding in more vegetables.
To help speed her weight loss, Ibarra also began walking. “Now I try to aim for 10,000 steps a day,” she says. She also participates in at least one 5K walk a month and other similar challenges.
“I try to add little things here and there,” she says. When Ibarra first started doing these events, she typically came in last. Now she’s at the front of the pack.
Making Changes That Last
Hispanics are at a higher risk of type 2 diabetes than non-Hispanic Caucasians, according to the American Diabetes Association. Being Hispanic, Ibarra was aware of the risk, and she now worries about her teenage daughters someday facing the same struggles. She hopes they learn from her example and see how she's been able to change her life and gain control of the condition.
Ibarra still tests her blood sugar two to three times a week. She not only looks better but also says she feels better. And she has lowered her A1C level to 6.
“I don’t have the highs and lows of blood sugar,” she says. And she doesn’t consider what she’s doing “dieting.” It’s more of a lifestyle, she says — and that’s why she’s hopeful she can live well this way for the rest of her life.
Last Updated: 7/16/2015


Friday 23 October 2015

Good morning world,
today's article is not aimed directly at us diabetics. However, as diet plays such an important role in managing the disease, I post it here for everybody's benefit. A healthy, clean so called mediteranian diet for most of one's life produces a healthy, clean human body.
You only have to take a brief look around, especially in the USA and South Africa, to see that you live in a country full (sic!) of morbidly obese, probably diabetic masses of people, including the children. Please have a look at my blogpost pointing out how terribly fat and sick a person  and pet can get.
Say  what you want, I find it     extremely disgusting 
The post was published in early 2013 and can be found in the archive of 

http://sunbirdafrica.blogspot.com
                                   
Sugar, much too much meat and processed foods are the culprits. Our ancestors ate meat, yes, but compensated for this with raw fruit, roots, nuts, berries and herbs. Nowadays we eat food fished out of boiling oil, out of polluted seas and if canned, with a label of 6-20 toxic chemicals. Yeccccch!

Please, most of you did already of course, but the others: please get this message. Diabetes, obesity, liver, heart, kidney failure and just add all the sicknesses available, will go down and that's guaranteed. Just add a good dash of Coconut and all will be good and well, as in good well-being....

THE MEDITERRANEAN DIET comes highly recommended:

By Maureen Salamon
HealthDay Reporter
WEDNESDAY, Oct. 21, 2015 (HealthDay News) -- In news that sounds a bit like it came straight from a sci-fi thriller, researchers say that eating too much meat might shrink your brain.
On the flip side, however, eating healthy foods from the so-called Mediterranean diet may help your brain stay in good shape as you get older, the new study suggests. The researchers said that people over 65 who ate more fish, vegetables, fruit, grains and olive oil had a larger brain volume than a similar group who didn't follow a Mediterranean diet.
"It was encouraging to see that the more you adhere to this Mediterranean diet, the more protection you get against brain atrophy [shrinkage]," said study author Yian Gu, an assistant professor of neuropsychology at Columbia University in New York City. "For people interested in the diet and lifestyle factors leading to better health, I think this is another study consistent with previous studies that indicate the Mediterranean diet is a healthy diet," she added.
But Gu noted that her study's observational findings cannot prove a definitive cause-and-effect relationship between diet and brain volume. The study was only designed to find an association.
Findings from the research were published online Oct. 21 in the journalNeurology.
Previous research has linked the Mediterranean diet to a lower risk ofAlzheimer's disease, the study said. The diet stresses the consumption of vegetables, legumes (beans, peas and lentils), fruits, cereals, fish and monounsaturated fats such as olive oil, the study authors said. The eating plan also includes a low intake of meat, poultry, saturated fats and dairy products, as well as mild to moderate amounts of alcohol, according to the researchers.
For the study, Gu and her colleagues split 674 adults into two groups based on how closely their diets aligned with the Mediterranean diet. Their average age was 80 years. All participants underwent MRI scans of their brains to measure total brain volume and thickness. They also completed questionnaires about their food choices and eating patterns.
The researchers found that brain volumes of those who didn't follow a Mediterranean diet were smaller than those who did. The difference was minor in overall size -- equated to about five years of aging, the study authors said.
But, more specifically, the investigators found that eating more fish and less meat was associated with even less brain shrinkage.
Gu said scientists don't yet know exactly why the Mediterranean diet seems healthier for the brain. However, other research has established that a higher intake of fish and vegetables and a lower intake of meat are beneficial for brain cell growth, she said.
Dr. Joseph Masdeu, director of the Nantz National Alzheimer Center at Houston Methodist Hospital, praised the research as "an elegant way of looking at this [issue]."
Masdeu, who wasn't involved in the research, said, "I think the take-home message is clear . . . a diet containing less meat and perhaps more fish is good for you. There are negative studies [focusing on] the Mediterranean diet as well, but several confirming a positive effect. So it's tentative, but it's the strongest preventive approach we have [promoting brain health] together with exercise."
Using the study findings, Gu contended that eating at least 3 to 5 ounces of fish weekly, or no more than 3.5 ounces of meat each day, could protect the brain from shrinkage.
She acknowledged that study participants may have inaccurately recalled their food consumption habits in the questionnaires used.
"We asked people to recall their past dietary habits, so that's prone to recall bias," she said.
Dr. Malaz Boustani, a spokesperson for the American Federation for Aging Research, said the new study provided "very good messaging" for the public.
"This is an encouraging study that will really make us work harder to see how we can actually encourage people . . . to change their diet to accommodate the Mediterranean diet," said Boustani, also founding director of the Sandra Eskenazi Center for Brain Care Innovation at Indiana University. "It makes it very easy for people to do the right thing."
MedicalNews
Copyright © 2015 HealthDay. All rights reserved.
SOURCES: Yian Gu, Ph.D., assistant professor, neuropsychology, Columbia University, New York City; Joseph Masdeu, M.D., director, Nantz National Alzheimer Center at Houston Methodist Hospital, Houston; Malaz Boustani, M.D., M.P.H., spokesman, American Federation for Aging Research, New York City, and founding director, Sandra Eskenazi Center for Brain Care Innovation, Indiana University, and professor, aging research, Indiana University School of Medicine, Indianapolis; Oct. 21, 2015, Neurology, online
The next post will come to you (again through the magic cyberspace) with delicious, irresistable mediterranean recipes that will make sense in respect of making your choices!!

Allons enfants de la patrie, le jour de gloire est arrive...... 
Greetings from your dedicated friend,
Barbara