Dr. Victor Sierpina
At a recent fundraiser for Meals on Wheels, the wonderful chef at the Galveston Country Club served a lovely salad made with kale.
A friend sitting with us who runs one of Galveston’s finest healthy eating establishments expressed an opinion that many of us may hold about kale: it is a nice ornamental in your garden or a garnish on the plate, but who would eat that bitter stuff?
So why, when a friend of my wife’s gave us a couple big bunches of organically homegrown kale was I as happy as a 10-year-old with a new pony? Because kale is a really healthy, nutrient-dense addition to the menu plan and offers many ways to enjoy it. Americans are falling in love with kale like never before, even raw kale. (more…)
Dr. Victor Sierpina
Some good news came out recently for those with type 2, non-insulin dependent diabetics that will lower the burden and costs of your care. If your hemoglobin A1C (HbA1C) level is under 8 and you are on oral medications, you don’t need to monitor your glucose daily beyond the first 6 months of starting therapy. This is also true of those on medical nutrition therapy. A review of multiple studies by the Cochrane Collaboration found that monitoring home blood sugars 4-7 times a week in such patients does not reduce the HbA1C more than less frequent self-monitoring of 1-2 times a week.
This is good news since the cost of glucose strips and the discomfort and inconvenience of daily finger sticks has long been a nuisance to patients. Diabetes is a costly disease already in terms of human suffering from serious issues such as heart disease, kidney failure, blindness, and circulatory problems sometimes requiring amputation. It is also expensive to manage diabetes due to the costs of medications, monitoring, doctor visits, testing supplies, special shoes, and hospitalizations.
So at least, this one component of perhaps reducing your monitoring frequency should make your life easier. Consult with your doctor about this change in recommendations to make sure it is appropriate in your case. (more…)
Americans don’t lack methods of dieting – South Beach, Atkins, Weight Watchers, Nutrisystem, Slim Fast, detoxing, juice cleanses – but not all are healthy. With public health organizations and the media constantly remarking on the obesity epidemic in the U.S., new studies on approaches to start and maintain weight loss couldn’t come at a better time.
A new study conducted at Boston Children’s Hospital and published in the Journal of the American Medical Association compared the weight loss and subsequent weight maintenance of three popular dieting approaches: low-carb diets, low-fat diets and low-glycemic diets. (more…)
By Lynn Maarouf
Statistics tell us the “average” American gains a lot of weight over the holidays. Many people who usually eat well are pressured by loving hosts to eat high-calorie foods they would never choose on an ordinary day.
Let’s look at a few simple steps to stay healthy and make it a lucky 2013:
1. Move it! The best time to exercise is before a holiday meal. It gets your metabolism revved-up to burn those calories off faster. Take a trip to the gym or spend an hour walking before you eat. A nice piece of cake will be at least 300 calories. It would take a minimum of 50 minutes of walking for most of us to burn that off.
2. Fill up with fiber and water. Eat a high-fiber cereal with at least 8 grams of fiber in the morning. This helps you feel less hungry and decreases the temptation to overeat. Aim for 20 grams of fiber a day and a big appetite won’t be a big problem. Break out those sandwich thins for five extra grams of fiber. And drink enough water to help that fiber swell and take up lots of room. (more…)