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Could a new diabetes medicine help you lose weight?

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nutrition, dietitian, health, diabetes, diet, weight lossWhen you have diabetes and are overweight, your doctor may say that a small amount of weight loss could help control your condition. However, if you have to take insulin to control your blood glucose levels, weight loss can be very difficult. Therefore, it is encouraging to report that a new diabetes medicine may help those with diabetes who are obese to lose weight.

Insulin and Weight Gain

According to Joslin Diabetes Center, those with diabetes on insulin may have a challenging time losing weight. This is because when people with diabetes first start taking insulin, the body is finally getting the glucose in the cells where it was previously low. In turn, this energy that the cells start taking in lead to weight gain. It is important to note though, that an initial weight gain with the start of insulin treatment is a good sign that the body is working to get your blood glucose levels back in control. However, weight loss is not impossible for those with diabetes on insulin. With the proper supervision and treatment plan by your diabetes health care provider, those with diabetes can lose weight.

Diabetes Medicine and Weight Loss Research

A recent study found that a new diabetes medicine may help those who are obese without diabetes to lose weight. This new diabetes medicine, semaglutide, has a similar chemical structure to the hormone glucagon-like peptide 1 (GLP-1). GLP-1 helps to regulate secretion of insulin as well as appetite. The U.S. Food and Drug Administration (FDA) recently approved the semaglutide injection Ozempic as a once-weekly supplement to diet and exercise to help those with type 2 diabetes control their blood glucose levels.

The one-year study done on semaglutide looked at nearly 1000 participants with obesity and without diabetes. Study results found that this treatment was effective as a weight loss treatment.  Different study groups were given different dosages of the treatment (.05-.4 milligrams injection daily).  Comparison groups were given  a placebo or a different diabetes medicine called liraglutide. All groups were provided monthly diet and exercise counseling.

  • All groups that received semaglutide lost significantly more weight than those in the placebo group.
  • The highest dose group (.4 milligram injection daily) lost the most weight, nearly 5 times more than the placebo group.
  • Researchers suggest that more studies could help fully explore the weight loss potential of semaglutide.

Other Ways to Lose Weight With Diabetes

Outside of prescription medicines, there are several lifestyle factors that can be adjusted to help those with diabetes lose weight.

  • Eat a healthier diet. According to the Centers for Disease Control (CDC), those with diabetes should work with their doctor and a dietitian. They can help you learn how to create a healthy, balanced meal plan.  A diabetes-friendly meal plan should focus on healthy carbohydrates such as fruits, vegetables, fiber-rich whole grain foods, and low-fat dairy.  Learning appropriate portion sizes and limiting eating out are other strategies to help you lose weight.
  • Exercise more.  When you exercise, insulin becomes more sensitive. In other words, exercise helps your muscle cells to better use the available insulin. In turn, the insulin works to better take up glucose into the cells and use it as energy during and after activity. This helps lower your blood glucose levels. However, it is important to note that those taking insulin to help control their blood glucose levels should adjust their insulin dosage and carbohydrate intake around the time they exercise to avoid a glucose low, or hypoglycemia.  Check out the American Diabetes Association site or talk to your healthcare provider about ways to avoid hypoglycemia during and after exercise.
  • Drink plenty of water each day to help prevent drinking your calories from sugary drinks. Most of your body is made up of water. Therefore, drinking plenty of water each day can help you maintain optimal health. In addition, people with diabetes need more water when blood glucose levels are high.  Studies show that increased water intake can help those with diabetes better control blood glucose levels.  The average adult should drink about half of your body weight in ounces of water each day. For example, if you weigh 200 pounds, then you should drink 100 ounces of fluid each day, or about 12.5 cups of water. Increased water intake can also help you feel fuller longer and prevent dehydration. In turn, increased water intake can help you manage you weight and increase energy over time.
  • Take diabetes-friendly supplements such as Glucarex by Vita Sciences. Glucarex contains compounds such as chromium, alpha lipoic aicd and cinnamon to help support blood glucose levels. Such ingredients can help support weight loss and a healthy metabolism.

-written by Staci Gulbin, MS, MEd, RD, LDN

Sources:

American Diabetes Association (last edited September 25, 2017) “Blood Glucose and Exercise.”

Centers for Disease Control and Prevention (December 18, 2017) “Eat Well!”

Diabetes.co.uk (accessed March 19, 2018) “Water and Diabetes.”

Joslin Diabetes Center (accessed March 19, 2018) “Insulin and Weight Gain.”

Science Daily (March 18, 2018) “New diabetes drug may help people with obesity lose weight.”

Seven Simple Ways to Keep Your Weight Loss Resolutions This New Year

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exercise, goal, weight loss, new year resolutionEvery new year, many of us make resolutions to be healthier. Whether it be weight loss, exercising more, eating healthier, or managing stress better, such resolutions usually start off strong. However, by early spring, such goals usually lose steam and get pushed off until the next new year. That is why it is important to plan ahead before making any goals so you can make sure they are realistic and backed up with a lasting motivating factor. With such planning, you can make your new year’s goals come true this year and maintain such healthy habits for the long-term.

What is a SMART goal?

SMART goals provide a formula for the greatest success in goal-setting and achieving. SMART stands for:

  • Specific: Being specific requires you to be clear about the goal you want to set. For example, “I want to exercise 30 minutes a day for at least 3 days a week,” or “I want to lose 1 pound a week for the next 12 weeks.” Being specific is more helpful than just saying “I want to lose weight” or “I want to eat healthier.” Such general statements do not provide any concise marker to work towards, therefore they allow for a greater likelihood of non-compliance.
  • Measurable: The marker that a specific goal contains allows your progress to be measured. When you can measure how many days you have been able to exercise each week, or how many cups of water you drink each day, you can have a better idea of what areas of your healthy regimen are doing well, and which need more work. Tracking through an app or food journal can help with keeping track of such progress.
  • Attainable: Perhaps one of the most important parts of a goal is to make sure it is attainable. For example, if you currently consider yourself a couch potato, it would be a stretch to make a goal to run a marathon by the springtime.  A more attainable goal would be “I will train for a summertime 5K race.”
  • Relevant: Another important part of your goal is that it must be relevant to your life. You should never set a goal that someone else may have for you. This type of goal-setting is setting you up for disappointment, especially if you are only working towards that goal to gain approval from others. Set your goals for YOU and YOU only, and you will be sure to be successful.
  • Time-bound: Finally, it is important that your goals include a start and end time. Timing your goal makes it easier to keep track of your progress. For example, “In the next three months, I want to be able to work out for at least three times a week.” In addition, breaking these timed goals into small pieces, like a week or a month at a time, will make them more approachable. So instead of saying, “I want to lose 50 pounds this year,” saying “I want to lose 5 pounds this month” will make this large goal seem more possible.

What are good motivating factors?

To keep your motivation level strong, it is important to have some non-scale goals, or goals that have no number attached to them. For example, some non-scale goals may include:

  • Having more energy to play with your kids or grand kids.
  • Moving around with less pain.
  • Being on a reduced number of medications.
  • Fitting in an airplane seat or amusement park ride seat comfortably.

What is a Realistic Weight Loss Goal?

If you are one of the many people who wish to lose weight for the new year, it is important  to set healthy expectations. Fad diets may promise 20 pounds lost in 20 days, which may seem great. However, these quick results usually only end up with quick weight regain. This is because such plans end up depriving you of nutrients, make eating healthy feel miserable, and are hard to stick to long-term. The Centers for Disease Control and Prevention report that 1 to 2 pounds a week is a healthy rate of weight loss.

More Simple Steps to Getting Healthy This New Year

  • Simplify healthy eating. Instead of getting obsessed with counting every calorie and macronutrient, stick to the basics.  Get out your measuring cups and smaller dinner plates (about 9-inches in diameter) and follow these simple tips:
    • Have at least 2 cups of non-starchy vegetables each day, which do not include corn, peas, and potatoes. With the plate method, fill half of your plate with the non-starchy vegetables at meal time.
    • Limit starchy, refined foods such as rice, potatoes, and pasta. Stick to 1/2 cup at each meal, or with the plate method, 1/4 of your plate. Choose high-fiber starches such as brown rice, quinoa, beans, or sweet potato.
    • Make sure you eat enough protein. Although this may seem easy enough, I find a lot of my patients do not eat enough healthy proteins. To determine your protein needs each day, you can multiply your weight in pounds times 0.3 to give you an estimate in grams.  You may need more protein daily if you workout frequently.
  • Be more mindful. Mindfulness is important for all aspects of life. In eating, mindfulness may include:
    • meal planning and prepping
    • asking yourself if you are eating for hunger or emotions
    • chewing more per bite to really savor and enjoy your food

Mindfulness in exercise may be choosing exercises you enjoy or listening to your                        body to find ways to move without causing pain. Everyday you can be mindful by                       being present in each moment. You can do this by listening actively to others and using relaxation breathing and meditation to manage stress.

  • Track your progress. Download an app like MyFitnessPal or MyPlate to help you track what you consume and the calories you burn. Some apps, such as Apple Health or Calm, can help you keep track of the number of mindfulness minutes you engage in daily.
  • Fill in the gaps with vitamins and supplements. Even the healthiest diets may be lacking some vitamins. In addition, some climates that may have less days of sunshine may make individuals prone to vitamin D deficiency.  It never hurts to have your healthcare provider check for your levels of vitamin D, vitamin B12, magnesium, and iron. Low levels of these nutrients may result in such symptoms as low energy, depressed mood, or trouble sleeping.  Zestia by Vita Sciences contains several of these nutrients in addition to probiotics and a SuperFood complex to help promote optimal health inside and out.
  • Reward yourself. Every small goal you achieve should be celebrated. If you went a whole week without any drinking any sugary drinks, then reward yourself with a relaxing hot bath, or by enjoying a relaxing movie night at home.

-written by Staci Gulbin, MS, MEd, RD, LDN

Sources:

Centers for Disease Control and Prevention (May 15, 2015) “Losing Weight.”

Medline Plus (December 28, 2017) “8 Small Changes for a Slimmer You in 2018.” 

Richardson, H. (December 29, 2017) “Holly Richardson: Resolutions, SMART goals, CLEAR goals and BHAGs.”

Rossy, L. (April 29, 2016) “How Mindfulness Can Help You Stay Motivated to Exercise.” 

 

Could Heartburn Meds Lessen Life Years?

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It may be like second nature popping a heartburn medicine at the first sign of acid reflux. However, what may seem like a habit could be shaving years off of your life. A recent study has found that long-term use of heartburn medications could lessen life years.

Gastroesophageal reflux, or acid reflux, occurs when your stomach contents come back through your esophagus. Furthermore, heartburn occurs when acid from your stomach lining comes back through the esophagus. GERD, or gastroesophageal reflux, is when acid acid reflux, heartburn, GERDreflux occurs for twice a week for more than a few weeks. Uncontrolled GERD can lead to respiratory problems or conditions such as esophagitis, which is an inflammation of the esophagus.

A recent study in the British Medical Journal Open looked at the medical records of thousands of people who use proton pump inhibitors (PPI). PPI’s include such medications like Nexium, Prilosec, or Prevacid.  The study found that those who used the drugs for more than a year had a 51-percent increased risk of premature death as compared to those who did not take them.  Short-term use of 90 days or less did not reveal any health risk.

PPI’s work by blocking the system that produces stomach acid. In turn, long term use of such medicines can increase risk of kidney disease, heart disease, pneumonia, bone fractures and dementia. This is not to say that such medicines are not useful. PPI’s can aid people with acid reflux. However, use of this medicine should be supervised by a healthcare professional. In addition, use of such medicines should not be used longer than truly needed for treatment of acid reflux.

Here are some ways you can naturally lessen your risk of getting heartburn:

  • Eating smaller meals throughout the day versus larger meals. A lot of pressure can be placed on the stomach when eating a lot of food at one sitting. This can cause food particles to be pushed back up through the esophagus.  This can throw acid from the stomach into your esophagus, thus causing heartburn. Therefore, eat more frequent, smaller meals throughout the day to allow time for your body to fully digest your food, and to prevent any stomach acid from causing discomfort.
  • Wear looser clothes. Wearing tight fitting clothes can place pressure on your digestive system, which can increase risk of acid reflux.  Therefore, if last year’s jeans are feeling a bit snug, stop by the store to invest in a looser pair.
  • Exercise more often.  Staying active can help improve digestion and can also lead to better weight management, which both can assist in preventing acid reflux.  Therefore, find ways to get your steps in everyday. Walking, water aerobics, biking, or gardening are just a few ways to stay active. Every movement is one step closer to improved health.
  • Start taking a probiotic such as Biovia 30 by Vita Sciences. Biovia 30 contains a blend of probiotic strains that help to support improved digestive health. This particular probiotic helps to build good bacteria and rid of bad bacteria that may be wreaking havoc on your digestive system.

-written by Staci Gulbin, MS, MEd, RD, LDN

Sources:

Medline Health News (July 3, 2017) “Can Your Heartburn Meds Shorten Your Life?” https://medlineplus.gov/news/fullstory_167005.html

National Institute of Diabetes and Digestive and Kidney Diseases (November 2014) “Symptoms and Causes of GER & GERD”

Can Exercise Prevent Stroke Complications?

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stroke, heart disease, health

Knowing these signs and symptoms of stroke can help save a life; perhaps even your own.

I’m sure you have heard many times before how exercising is great for keeping your heart strong. Therefore, it may come as no surprise that exercise has been found to prevent complications after someone has a stroke.

 

What is a stroke?

A stroke is essentially a brain attack of which there are two major types.

A hemorrhagic stroke occurs when a weakened blood vessel bursts.  An ischemic stroke is caused by restricted blood flow to the brain as a result of a vessel being blocked.

According to the National Stroke Association, these brain attacks are the fifth leading cause of death in America and one of the leading causes of adult disabilities in the country.  Unlike what was previously though, it is estimated that 80-percent of strokes can be prevented by such controllable lifestyle factors as:

  • Eating a healthy diet. To consume a heart and brain healthy diet, you can:
    • Limit saturated fats in the diet such as those from fatty meats, whole fat dairy products, and fried foods.
    • Limit sodium in the diet to 2300 milligrams a day.  You can limit sodium by reducing the amount of processed food products you consume each day.  Try to  limit intake of high sodium foods such as canned soups, chips, deli meats, and adding salt to your food.
    • Limit added sugars at meal and snack time.  Try to stick to foods that contain less than 15 grams of sugar per serving and limit intake of sugary drinks such as juice, cola, milkshakes, and dessert coffee drinks.
  • Stay active. Exercise at least 30 minutes a day for 5 days a week. This doesn’t mean you have to attend boot camp classes. Just walking at a brisk pace is enough to keep your heart strong.
  • Limit alcohol intake. For healthy living, you should consume no more than 1 standard drink a day for women and no more than 2 standard drinks a day for men. Alcohol has been associated with increased blood pressure, which can increase risk of stroke. One standard drink is equal to 12 ounces beer, 5 ounces wine, or 1.5 ounces liquor.
  • Quit smoking or don’t start. Smoking constricts the blood vessels, therefore restricting blood flow to the organs and tissues.
  • Visit your doctor regularly. You and your healthcare provider should work to control any chronic conditions such as high blood pressure, high cholesterol, or diabetes since these conditions can increase your risk of having a stroke.

Exercise and stroke

In the journal Neurology, researchers followed individuals with no history of stroke for 12 years.  Over 7-percent of those individuals suffered a stroke and survived during the course of the study.  It was found that three years after this major health event, survivors who had exercised regularly before their stroke were 18 percent more likely to be able to perform basic tasks such as bathing themselves. Furthermore, those individuals who were more fit were 16 percent more likely to be able to perform more complex tasks, such as managing money on their own, compared to those who did not exercise.

Surprisingly, a person’s body mass index, or estimate of fat mass, was not a predicting factor in their level of disability after having a stroke. Therefore, it is suggested that doctors should stress the importance of leading an active lifestyle for not only prevention of the condition, but also to improve chances of survival if a stroke occurs.

Another way to help prevent stroke is to take a heart healthy supplement such as Circova by Vita Sciences.  Circova contains a powerful blend of Hawthorne extract which has been found to assist in the dilation of blood vessels, in turn increasing blood flow to the heart.

Visit the National Stroke Association website for more information on how you can prevent stroke.

-Staci Gulbin, MS, MEd, RD, LDN

Sources:

National Stroke Association (accessed 2017 April 10) “What is Stroke?” http://www.stroke.org/understand-stroke/what-stroke

Preidt, R. (2017 April 5) “Fitness, Not Fat, Is Key to Post-Stroke Recovery” https://medlineplus.gov/news/fullstory_164476.html