Tag Archive for 'Diabetes'

Health risks are linked to access to restaurants

A new study has concluded that the chance of early death from heart disease or diabetes increases with dining out too often. There is particular concern with dining out at fast-food restaurants.

It was found that early deaths from diabetes rose by 8 percent in neighborhoods near fast-food restaurants. The report also said that premature deaths from heart disease increased by 5 percent.

Unfortunately the study also found a link with full-service restaurants and health risks. According to the study, dying earlier from diabetes climbed by 3 percent for each full-service restaurant in or near a neighborhood.

Elizabeth Racine, the lead researcher for the Mecklenburg County Community Food Assessment, said “the number of restaurants that are available within an area is related to premature deaths. Although she said this, she does admit that more data is required to know for sure if restaurants have a direct link to mortality rates. She also said “You’d have to look at people over time to see if that exposure causes these things.”

These findings are very substantial considering that Americans spend 48 percent of their food dollars on average at restaurants based on estimates from the U.S. Departure of Agriculture, according to Racine.

Of course it is noteworthy to mention that many restaurants now offer healthy options. It is simply up to the customers to make healthy choices. Another thing to think about is that you can eat just as badly at home as you would in a restaurant.

BCBSNC Bariatric surgery policy for morbid obesity

Bariatric surgery, also called “weight-loss” surgery, is performed to help extremely overweight people to lose weight, attain better health and heighten their quality of life. In the United States alone, morbid obesity has almost risen to epidemic proportions, causing around 11 million to suffer from its crippling effects.

Morbid obesity is defined by a body mass index (BMI) of more than 40 kg/m2 or 35 kg/m2 with related complications such as diabetes, hypertension or obstructive sleep apnea. Those who suffer from morbid obesity are at a substantially  higher risk for different types of cancers and even a shortened life span.

For the Corporate Medical Policy on morbid obesity with Blue Cross Blue Shield of North Carolina, click http://docs.healthplansofnorthcarolina.com/page7/files/Surgery%20for%20Morbid%20Obesity.pdf

N.C. is ranked as the 10th-fattest state

According to an annual report released on June 29 by the advocacy group Trust for America’s Health, North Carolina is weighs in at 10th place for it’s amount of people who are obese or overweight. South Carolina was just under N.C. in the 9th place.

This year’s report revealed that twenty-nine percent of people in North Carolina are obese, which means that one has a body-mass index of 30 or more; 29.9 percent of South Carolinians are considered obese.

Embarrassing to us southerners, all but one of the 10 fattest states are in the South, with Michigan as the only exception. It tied with North Carolina for 10th place. Also of great concern is the fact that almost 19 percent of N.C. children and 15 percent of S.C. children are obese. Obesity rates have risen in 27 states, including North Carolina. It seems to be more common in poor people, blacks Hispanics and women.

At least 20 diseases are caused or aided by obesity. The two main diseases induced by obesity are diabetes and cardiovascular disease.

BCBSNC launches new program to fight the rise of childhood obesity and diabetes

Blue Cross and Blue Shield of North Carolina (BCBSNC) and the Blue Cross and Blue Shield Association (BCBSA) have recently introduced the national commencement of the Good Health Club Physician Toolkit to fight obesity and diabetes. This toolkit, which was initially created and tested in five states including North Carolina, will become accessible to pediatricians in North Carolina and communities throughout the U.S. The toolkit was designed with materials that were used with great results by BCBSNC and augmented in consultation with the American Diabetes Association (ADA) and the American Academy of Pediatrics (AAP). The toolkit is obtainable in both English and Spanish and is composed of tip sheets, physician reference materials, wall posters, tracking sheets and brochures with educational information.

The Good Health Club Physician Toolkit presents messages from the “Good Health Club, ” which is a group of friendly animal characters that motivates children to:

* Eat 5 servings of fruits and vegetables each day

* Curb screen time to 2 hours or less each day

* Exercise at least 1 hour each day

* Eliminate sweetened drinks

Dr. Don Bradley, senior vice president and chief medical officer at BCBSNC, and Dr. Edie Bernosky, Chapel Hill pediatrician, are both pleased and optimistic about the new program.

In the last 20 years, type 2 diabetes (formerly called adult-onset diabetes) has been reported among U.S. children and adolescents with increasing incidence, according to the Centers for Disease Control and Prevention (CDC). One in three U.S. children born in 2000 could get diabetes during their lifetime and the pervasiveness of obesity in children aged 6 to 11 has more than doubled in the past 20 years, rising from 6.5 percent in 1980 to an astounding 17 percent in 2006.

Since 1999, Blue Cross and Blue Shield of North Carolina has developed an assortment of programs in our community that focus on healthy lifestyles. The lifestyle modification program, called Health Lifestyle Choices, gave customers the support and instruments they needed to reach and maintain a healthy weight. In 2005, BCBSNC converted into one of the very first insurers to label obesity as a medical condition and cover nutritionist visits. Since 2007, they have augmented model tool-kits to assist families in getting routine exercise and taking control of managing their health and well-being.

To take a look at the Good Health Club Physician Toolkit and to get more information about what the Blue Cross and Blue Shield companies are accomplishing in their communities to fight childhood obesity and diabetes, please visit www.bcbs.com/goodhealthclub.

Diabetics and health conscious now have a delicious new alternative for water

Eliminating extra sugar from one’s daily diet will help fight diabetes. It also helps decrease insulin levels if one is dealing with the disease. 

Soda, juices and most flavored waters are full of unwanted sugar, carbohydrates and calories. Water is usually recommended as the healthiest drink choice, but people often become tired and bored from the lack of taste.

One option is a drink that is thirst-quenching and healthy with no artificial sweeteners or preservatives. It has absolutely no sugar or calories either. It’s called hint and is made in San Francisco, California. It is just as healthy as drinking regular water, but it has some added natural flavor with a refreshing taste.

For more information or to purchase hint, go to (www.drinkhint.com).,

Certain foods may increase your appetite

We have often heard that when it comes to dieting, it doesn’t matter what you eat as long as you burn more calories than you consume. But many seasoned dieters have come to understand a harsh reality for those who love bread, pasta and sweets. It seems that specific foods seem to enhance the appetite, sometimes making it incredibly hard to stop after seeming to lose a sense of fullness.

A new book called “The Skinny”, by Louis J. Aronne, the veteran director of the Comprehensive Weight Loss Program at New York Presbyterian Hospital/Weill Cornell Medical Center,  explains this theory. In the book, he talks about how what you eat and when you eat can make a huge difference in your appetitie, satisfaction and willpower.

Dr. Aronne has treated patients for 23 years. He has come to believe that refined carbohydrates and high sugar foods encourage what he calls “fullness resistance.” He says that they seems to tamper with the elaborate hormonal messages the body normally sends to the brain to cue that it’s time to stop eating. Instead, people actually can fell hungrier. This happens when refined carbohydrates cause blood sugar levels to rise, making insulin increase and pushing blood sugar down again, which causes rebound hunger. This insulin surge also has a blocking impact on leptin, the hormone that is secreted by fat cells that usually tells the body to stop eating. Obese people have plenty of leptin, but sometimes it doesn’t reach the brain or the brain gets resistant to it. Dr. Arboone writes that “this is not a failure of willpower, it’s a physical mechanism.” This opens the door for diabetes, because the body becomes resistant to insulin. Other researchers have claimed that refined foods with a lot of  sugar and carbohydrates can be as addictive as alcohol and tobacco.

The good news is that eating foods that are high in protein, vegetables, fiber and water have the opposite effect according to Dr. Aronne. In his plan, he suggests changing what you eat, one meal at a time, to bring back your sense of fullness.

For breakfast, he says to load up on lean protein, preferably from egg whites or a protein shake. When you eat this way in the morning, it can reduce hunger throughout the day. 

As for lunch, many dieters like to skip this meal, but going for more than 5 hours without food makes hunger hormones increase and fullness hormones drop, sending more of the calories eaten at dinner right to the fat cells. Dr. Aronne suggests beginning lunch with a salad; at least 2 cups of lettuce. After this, have more vegetables and then a lean protein. Try to eliminate the cheese, croutons, bacon and creamy dressings, he says. He claims that using vinegar by itself will decrease your appetite and slow blood sugar spikes.

Obese people eat usually eat more calories at dinner than slimmer people. For dinner, eat plenty of salads, clear soups or high-protein appetizers. In contrast to other diet programs, Dr. Aronne permits a half cup of grains or a small dessert at the end of the meal when you are still a little hungry. He also says that eating bread before dinner can make people lose their sense of fullness and actually cause them to eat more. He cautions that drinking alcohol can lower your resistance and promote fat storage.

When it comes to snacks, he believes that mid-morning and mid-afternoon snacks can be like appetite suppressants, because they prevent blood sugar from getting too low; just make sure your snacks are consistent with the plan.

As for beverages, we all know that juice and sweet soda can add lots of extra calories, and some studies have revealed that even artificial sweetened drinks can cause people to crave real sweets during the day. Try to cut back on all liquid calories and just drink water.

The weight-loss debates and theories will continue to be in the forefront of the news. Dr. Aronne says that because every one’s metabolism is not the same, and weight loss is a very complicated area, he suggests trying his plan for yourself. He says to experiment by having 200 calories of egg white or protein shake for breakfast and then have 200 calories of juice  on another day, and observe  your hunger hour by hour.

Too much protein and fat could increase risk for developing diabetes

About 550,000 people suffer from diabetes and approximately 300,000 have pre-diabetes in North Carolina. People over age 65 and blacks tend to be more prone to this chronic disease. North Carolina has the 10th highest ratet of diabetes in the U.S.  The national average is 7.3 percent and it is 8.5 percent in North Carolina. The main killers of people with this disease are heart attacks and strokes. Diabetes also can cause kidney failure, blindness, depression, amputations, nerve damage and periodontal disease.

Even though diabetes has extensively increased in North Carolina and the U.S. over the last ten years, doctors are just now starting to figure out the mystery behind the intricate cycle of cellular occurrence that trigger the development of this persistent disease. Although a cure is not yet on the horizon, researchers are developing new targets for drug therapies.

Diabetes occurs when the body doesn’t make or successfully use insulin. Insulin is a hormone created in the pancreas which enables cells to convert sugars and starches for energy. People who are overweight have an increased chance of getting diabetes, because eating too much, and not exercising enough can exhaust the body’s capacity to use insulin. But important to mention is that not everyone who is heavy will develop the disease and not everyone with diabetes is overweight.

On April 7, a paper was published revealing that Duke University researchers have a new discovery that suggests that diabetes could be affected by protein and not sugary carbohydrates, which has long been thought of as the main culprit. The Duke researchers found that overweight people actually metabolize protein differently than leaner people, especially when it is part of a high-fat diet.

When too much protein and fat are eaten, the metabolic byproducts can not be totally absorbed, so they surge into the bloodstream. One of those byproducts is an enzyme that affects insulin sensitivity. A diet that is predominantly heavy in fat and protein causes the body to change to a different way of becoming insulin resistant.

Christopher Newgard, the director of the Sarah W. Stedman Nutrition and Metabolism Center at Duke and lead author of the study, said that protein is usually viewed as a good nutrient and it can be when people exercise and eat in moderation. The problem, she suggests, is the typical U.S. and Western society, where 65 percent are overweight due to a sedentary lifestyle and a diet that is too heavy in fat and protein.

Combination of green tea and exercise may decrease belly fat

If the size of your abdomen is more than ideal, you might want to try some green tea. There have been some studies that have indicated that green tea can help to increase exercise-induced weight loss. There is another study, which was published in the Journal of Nutrition, that reinforces this connection and reveals that fat around the middle is usually the first to disappear.

This study looked at 132 obese adults. They all ate a diet that had the same daily calories and did 180 minutes a week of modestly intense exercise. Each day they also drank a drink that had 39 milligrams of caffeine, although one group drank green tea with 625 milligrams of catechins, which is an antioxidant and the main ingredient of green tea.

After just 12 weeks, the group that drank green tea had more success at losing weight-4.4 pounds. The control group dropped only a little over 2 pounds. Also, the green-tea group had more decreases in total abdominal fat, subcutaneous abdominal fat and triglycerides.

Just how green tea does this is not yet fully known, but scientists think that it revs up the speed at which fat is broken down in the body. Also, those affected by diabetes may also be interested to know that it might assist in the body’s sensitivity to insulin, which could lower the risk of diabetes.

Diabetes reversed in teens with obesity surgery

About a third of America’s youth are either overweight or obese. More and more obese children are being diagnosed with Type 2 diabetes, which is the most common form of the disease and the one that is linked with obesity. In the past, it was rarely seen in kids.

On the positive side, a small study has shown that obesity surgery can reverse  diabetes in teens like it does in adults. There were 11 patients in the study who were aged 14 to 21 and all were severely obese, ranging from 250 to 403 pounds. They were taking diabetes pills and one was on insulin. They had gastric bypass surgery or stomach stapling at five different medical centers. At Cincinnati Children’s Hospital,they were compared to 67 teens who were mostly obese and had diabetes. Their blood sugar was being controlled with diet and medication.

After a year, those who had surgery had lost between 72 and 218 pounds, but none had reduced to a normal weight. Diabetes disappeared within a year for all but one of the 11 severely obese teens in the study, after under going weight- loss surgery, according to the researchers. The 11th patient still had diabetes, but was able to stop taking diabetes pills and needed much less insulin.

All of the teens who did not have surgery still had diabetes after a year and there was no change in their weight or their medication usage, but their blood sugar levels showed improvement.

The researchers said the reason wasn’t clear why diabetes wasn’t reversed in one patient who had been through the surgery, but they mentioned that his mother and a sibling had Type 2 diabetes. The teen still needed to take insulin but was no longer overweight three years after the surgery. Another reason could be that his diabetes was more advanced than the other teens in the study. Previous adult studies have found that the chances of reversing diabetes are better when the surgery is done soon after a being diagnosed. The others were most likely successful because their surgery was done while the patients were in the early stages of the disease.

Sleep disorder may be associated with diabetes

OSA, or obstructive sleep apnea, is distinguished as having interruptions during sleep caused by unbalanced breathing. Loud snoring, waking up choking or gasping or with a sore or dry mouth and being extremely tired during the day, are all symptoms of OSA.

One way to know if you have it for sure is to spend the night in a sleep lab. There you are hooked up to electrodes that evaluate your breathing. When people with sleep disorders snore, many physiological things take place. Blood pressure rises, oxygen and blood flow decrease, and heart irregularities are happen. Obviously, this is not a good night’s sleep. During the day, people having sleep apnea tend to have trouble with attentiveness and memory.

So what does all this have to do with diabetes? Diabetes and sleep apnea seem to be linked in certain ways. First of all, excess fat around the midriff is a risk for both diabetes and sleep apnea. People who have apple shapes or more fat cells in the upper body have different health effects than fat cells in the hips and thighs.

Then there is insulin resistance syndrome. It is a condition that is commonly found in people with diabetes as well as people with OSA. When breathing is too shallow, hormones are increased in the body causing blood sugar levels to raise and cause the body to not process excess blood sugar properly.

Another condition called neuropathy-nerve damage- frequently associated with diabetes, is also rampant in people with obstructive sleep apnea.

So what can you do to improve your odds of getting one of these problems or treat the ones you already have? Losing weight, avoid sleeping on your back, get at least 6 to 7 hours of sleep nightly, and avoid alcohol and other medications that may interfere with sleep are all ways that will help.

To summarize, sleep apnea may induce diabetes and vice versa. The good news is that the treatment of one may amend the aftermath of the other. As an example, a beneficial treatment for sleep apnea-Continuous Positive Airway Pressure, or CPAP-can also assist in controlling blood sugar levels by increasing more oxygen to the body.