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How Nutrition Affects Your Feet

 

Some foods, like those with lots of sugar, can cause inflammation. And inflammation can impact the health of your feet.

When most people think about nutrition and their health, they have no trouble associating the foods they eat with weight loss or heart health, says Sherri Greene, DPM, a podiatrist in New York City who practices holistic foot care. However, your diet affects many other parts of your body, including your feet.

“When I explain to people that your feet are connected to the rest of your body, and what you put into your body is what makes up your body, they’re like, ‘Wow!’ When they feel better after they change their diet, then they get it,” she says.

 

Feet and Nutrition: Fighting Off Inflammation and Pain

One problem linked to nutrition that can affect your feet is inflammation, Dr. Greene says. Certain foods can increase chemicals in your body that cause tissue inflammation. This inflammation could appear in your foot as plantar fasciitis, which causes pain in the thick band of tissue that runs across the bottom of your foot, in your heel, or elsewhere in your foot.

 

Many common foods in the American diet encourage inflammation, such as the refined grains, sugar, and trans fats in many baked goods and junk foods; the saturated fat in red meat; and the omega-6 fats found in many commonly used vegetable oils, such as corn, soybean, and sunflower oils.

 

In addition, some people may have increased levels of inflammation in their bodies due to chronic allergies to common foods such as wheat, Greene says. Another factor that can contribute to inflammation is eating too many foods that cause your blood sugar to rise quickly, such as sweets, white flour, and pasta

.

As a result, the nutritional approaches Greene discusses with patients to reduce inflammation include:

 

Eating more omega-3 fats. Fatty fish such as salmon, as well as fish oil supplements, are good sources of omega-3s, Greene says. Omega-3s help reduce inflammation, and nutrition studies suggest they should be properly balanced in the diet with omega-6s. Most people’s diets provide far more omega-6s than omega-3s, and a fish-rich diet can address this imbalance.

 

Doing a general diet makeover. Following an overall healthier diet can provide anti-inflammatory benefits to your feet and your total health. This includes eating more green vegetables and other fresh plant foods, and cutting out refined grain foods and sugary treats, Greene says.

 

Feet and Nutrition: Other Health Connections

Two common conditions that affect millions of Americans’ feet are peripheral artery disease and diabetes. Each of these conditions can harm your feet by damaging arteries that bring blood to your lower extremities.

 

Good nutrition can also help protect your feet from these conditions. According to the National Institutes of Health (NIH), a diet low in saturated fat, trans fat, and sodium and rich in fruits and vegetables can help reduce your risk of peripheral artery disease. A 2008 study in the Journal of Vascular Surgeryspecifically found that omega-3s were associated with a lower risk of peripheral artery disease.

 

If you have diabetes, a healthy diet can help protect your feet from complications of that condition, too. In general, the NIH recommends a diet rich in whole grains, beans, vegetables and fruits, lean meats, and a limited amount of fats and sweets for people with diabetes.

 

Whether you eat more healthfully to counteract a medical condition or to avoid one, following the NIH’s recommendations will help ensure that your feet, along with the rest of your body, continue to serve you well.

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How Nutrition Affects Your Feet

Some foods, like those with lots of sugar, can cause inflammation. And inflammation can impact the health of your feet.

When most people think about nutrition and their health, they have no trouble associating the foods they eat with weight loss or heart health, says Sherri Greene, DPM, a podiatrist in New York City who practices holistic foot care. However, your diet affects many other parts of your body, including your feet.

“When I explain to people that your feet are connected to the rest of your body, and what you put into your body is what makes up your body, they’re like, ‘Wow!’ When they feel better after they change their diet, then they get it,” she says.

 

Feet and Nutrition: Fighting Off Inflammation and Pain

One problem linked to nutrition that can affect your feet is inflammation, Dr. Greene says. Certain foods can increase chemicals in your body that cause tissue inflammation. This inflammation could appear in your foot as plantar fasciitis, which causes pain in the thick band of tissue that runs across the bottom of your foot, in your heel, or elsewhere in your foot.

 

Many common foods in the American diet encourage inflammation, such as the refined grains, sugar, and trans fats in many baked goods and junk foods; the saturated fat in red meat; and the omega-6 fats found in many commonly used vegetable oils, such as corn, soybean, and sunflower oils.

 

In addition, some people may have increased levels of inflammation in their bodies due to chronic allergies to common foods such as wheat, Greene says. Another factor that can contribute to inflammation is eating too many foods that cause your blood sugar to rise quickly, such as sweets, white flour, and pasta

.

As a result, the nutritional approaches Greene discusses with patients to reduce inflammation include:

 

Eating more omega-3 fats. Fatty fish such as salmon, as well as fish oil supplements, are good sources of omega-3s, Greene says. Omega-3s help reduce inflammation, and nutrition studies suggest they should be properly balanced in the diet with omega-6s. Most people’s diets provide far more omega-6s than omega-3s, and a fish-rich diet can address this imbalance.

 

Doing a general diet makeover. Following an overall healthier diet can provide anti-inflammatory benefits to your feet and your total health. This includes eating more green vegetables and other fresh plant foods, and cutting out refined grain foods and sugary treats, Greene says.

 

Feet and Nutrition: Other Health Connections

Two common conditions that affect millions of Americans’ feet are peripheral artery disease and diabetes. Each of these conditions can harm your feet by damaging arteries that bring blood to your lower extremities.

 

Good nutrition can also help protect your feet from these conditions. According to the National Institutes of Health (NIH), a diet low in saturated fat, trans fat, and sodium and rich in fruits and vegetables can help reduce your risk of peripheral artery disease. A 2008 study in the Journal of Vascular Surgeryspecifically found that omega-3s were associated with a lower risk of peripheral artery disease.

 

If you have diabetes, a healthy diet can help protect your feet from complications of that condition, too. In general, the NIH recommends a diet rich in whole grains, beans, vegetables and fruits, lean meats, and a limited amount of fats and sweets for people with diabetes.

 

Whether you eat more healthfully to counteract a medical condition or to avoid one, following the NIH’s recommendations will help ensure that your feet, along with the rest of your body, continue to serve you well.

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Smoking, Diabetes, Obesity May Shrink Your Brain

Study adds to evidence that good living preserves mental abilities.

As if there weren’t already enough good reasons to avoid smoking and keep your weight, blood sugar levels and blood pressure all under control, a new study suggests these risk factors in middle age may cause your brain to shrink, leading to mental declines up to a decade later.

Evaluating data from 1,352 participants whose average age was 54 in the Framingham Offspring Study — which began in 1971 — researchers from the University of California, Davis found that smoking, high blood pressure, diabetes and being overweight were each linked to potentially dangerous vascular changes in the brain.

“We can’t cure disease or cure aging, but the idea of a healthy body, healthy mind is very real,” said study author Dr. Charles DeCarli, director of UC Davis’ Alzheimer’s Disease Center. “People should stop smoking, control their blood pressure, avoid diabetes and lose weight. It seems like a no-brainer.”

Participants were given blood pressure, cholesterol and diabetestests and had their body mass and waist circumference measured. They also underwent MRI brain scans over the course of a decade, the first one about seven years after the initial risk factor exam.

Those with stroke and dementia were excluded at the outset, and between the first and last MRIs 19 participants suffered a stroke and two developed dementia.

Those with high blood pressure experienced a more rapid worsening of test scores of planning and decision-making, which corresponded to a faster rate of growth of small areas of vascular brain damage than those with normal blood pressure.

Those with diabetes in middle age experienced brain shrinkage in an area known as the hippocampus faster than those without, and smokers lost brain volume overall and in the hippocampus faster than nonsmokers, with a more rapid increase of small areas of vascular brain damage.

Meanwhile, participants who were obese at middle age were more likely to be in the top 25 percent of those with faster declines in tests of executive function, DeCarli said. Those with a high waist-to-hip ratio were more likely to be among the 25 percent with a faster drop in brain volume.

“I do think it’s an important study and has practical importance in confirming there are things we can do in middle age that can have effects 10, 20 and 30 years down the line to improve cognitive health,” said Dr. Raj Shah, medical director of the Rush Memory Clinic in Chicago. “It may seem we’re talking about things that are somewhat common knowledge, but really, we always hypothesize these things could happen, but to show they actually do in a study is very important.

” DeCarli noted that the effects of the risk factors studied are likely to be even more compelling in the general population, since study participants were largely healthy individuals with normal blood pressure and cholesterol levels and a low diabetes rate.

“It could be so much worse in a representative group of Americans,” he said, adding that all study participants were white and only 5 percent were diabetics, compared to a nearly 50 percent rate for Hispanics over age 65. And, “the study certainly doesn’t represent the growing obesity problem seen in the South.

” One of the strengths of the research was that it used a large sample of people from a well-known study, said Catherine Roe, an assistant professor of neurology at Washington University School of Medicine in St. Louis. However, the results don’t prove these risk factors caused the brain changes, she added.

“We know smoking and being overweight are bad for other parts of your health,” Roe said. “This is just one more reason to get these things under control.”

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Less sleep may lead to weight gain

Washington: This study  found that those who slept less didn’t burn additional calories.

“We tested whether lack of sleep altered the levels of the hormones leptin and ghrelin, increased the amount of food people ate, and affected energy burned through activity,” said Virend Somers, M.D., Ph.D., study author and professor of medicine and cardiovascular disease at the Mayo Clinic, Rochester, Minn. Leptin and ghrelin are associated with appetite.

The researchers studied 17 normal, healthy young men and women for eight nights, with half of the participants sleeping normally and half sleeping only two-thirds their normal time. Participants ate as much as they wanted during the study. They found that the sleep-deprived group, who slept one hour and 20 minutes less than the control group each day, consumed an average 549 additional calories each day. The amount of energy used for activity didn’t significantly change between groups, suggesting that those who slept less didn’t burn additional calories.

Lack of sleep was associated with increased leptin levels and decreasing ghrelin – changes that were more likely a consequence, rather than a cause, of over-eating. “Sleep deprivation is a growing problem, with 28 percent of adults now reporting that they get six or fewer hours of sleep per night,” said Andrew D. Calvin, M.D., M.P.H., co-investigator, cardiology fellow and assistant professor of medicine at the Mayo Clinic.

The researchers noted that while this study suggests sleep deprivation may be an important part and one preventable cause of weight gain and obesity, it was a small study conducted in a hospital”s clinical research unit.

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Diabetes in Summers

 
 
What has the weather got to do with Diabetes control? seems an obvious question. Summer season has different implications in different parts of the world.. There are many factors which influence the management of Diabetes in this period of time.
 

FOOD:

Western

In the Colder countries summers bring plenty of fruits and vegetables which are highly recommended for Diabetics, Green leafy vegetables, fresh berries, available in plenty and  good for diabetics. Vegetables , specially salads have almost zero calories, they can be had as much as desired, help increase HDL ( the ‘Good Cholesterol’) and keep sugar down as they are of Low Glycemic Index and would decrease the absorption of foods consumed with them.

Indian

In most of the Indian subcontinent (except the north which may have climate similar to the western countries) A lot of refreshing drinks are consumed during the summers. Care must be taken to avoid Sugarcane juice – which is very popular in North India, as well as other sugar containing beverages and aerated drinks like the popular Colas, lemon, mango and fruit drinks. ‘Chach’ or buttermilk is one of the best thirst quenching drinks for diabetics in the scorching hot weather, lemonade should be taken either with salt and masala or with sugar substitutes .
 
Generally appetite is decreased in the hot weather which goes in favour of Diabetes control.
 

INFECTIONS & DEHYDRATION

 
This season also causes a lot of diseases related to Gastrointestinal system like Diarrhea, vomiting – leading to loss of water and salts from the body. Children are more prone to such diseases. These may complicate into Diabetic Ketoacidosis if not treated promptly, remember sometimes even Diabetics on Oral medicines may have to be given insulin injections to prevent such complications.
Uncontrolled Diabetes may predispose to the frequent infections of stomach and throat which are prevalent in summers.
Dehydration specially due to Stomach infections frequently causes hypoglycemia as people do not tolerate food and liquids Oral rehydration solutions are helpful.
 
Plenty of water is lost due to sweating and evaporation- Drink adequate water and prevent dehydration.
 
Some FAQs :
 
Is the usual ORS Solution recommended for Diabetics?
 
In case of Dehydration – The same ORS solution may be recommended  as all the essential salts together with glucose are lost with body fluids-.
 
Are fresh fruit juices good for diabetics?
Fresh fruits would be preferable to Fresh fruit juices, but freshly made fruit juices are not bad for consumption in Diabetics.
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A Different A1C Target for Seniors

News from the American Diabetes Association’s 71st Scientific Sessions

An A1C goal of less than 7 % may be unhealthy for some high-risk people with diabetes. A study confirmed that older people may benefit from a higher A1C target. (The A1C test measures blood glucose over two to three months.) In assessing the consequences of raising the target for seniors, researchers calculated that as many as 4.3 million Americans 65 years and older would be able to take fewer diabetes medications if the A1C target for older adults was bumped up to 8% or less. Taking fewer medications would reduce the risk of dangerous drug interactions. However, higher blood glucose levels can also have negative health effects. People with diabetes should discuss appropriate individual A1C targets with their doctors

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Avoid These Diabetes Traps

 

If you’ve been diagnosed with type 2 diabetes, watch out for these lifestyle pitfalls that can make controlling your blood sugar more difficult.

You may be scared or stunned by a type 2 diabetes diagnosis, but it’s critical that you start making the changes suggested by your doctor. That’s often easier said than done, since for most of us, what we eat, how much we exercise, and other everyday habits are as cozy — and as hard to get rid of — as well-worn slippers or a soft old sweatshirt.

 

But although you might have a few false starts and even a misstep or two along the way, a diabetes diagnosis must be taken seriously, beginning with abandoning old habits and committing to new ones to reverse or stabilize the condition.

 

Steps Toward Positive Change

Here’s a great place to begin: Losing just 10 percent of your body weight will improve your blood sugar control, says Margaret Shields, MEd, RD, a diabetes educator with the Washington University Diabetes Center at Barnes-Jewish Hospital in St. Louis. That, in turn, will decrease your heart disease risk and keep you healthy and living longer.

Some more bad habits you should be sure to avoid:

Not testing blood sugar. Yes, you have to draw blood, but no, it doesn’t have to hurt. Your doctor or diabetes educator will show you how to get started with a blood glucose monitor and lancets. Keep your diabetic supplies within reach at home, at work, and even in your car. And with time, Shields says, testing will get easier. Not taking diabetic medications at the right time.

To keep blood sugar balanced, you have to “feed” your body at specific times — whether it’s with meds or food. Otherwise you’re wasting time and money and damaging your body. Skipping meals. If you want to lose weight, skipping meals to hurry the process isn’t the answer.

Skip breakfast or lunch, and the drop in blood sugar will set off a chain reaction that disrupts insulin levels and blood sugar — and you’ll likely eat more later. Take time to eat simple, balanced meals. You may also benefit from a mind-set boost: “Try not to think of it as a ‘diabetes diet’ because it’s basically heart-healthy eating, the way we all should eat,” says Ellen Calogeras, RD, LD, a diabetes educator with the Cleveland Clinic Diabetes Center.

‘Emotional eating. If you feel depressed, anxious, or stressed, it will affect your blood sugar, so it’s important to get your emotions under control. Medication, meditation, psychotherapy, exercise, and deep breathing can help, alone or in combination.

Binge eating.Stock up on healthy foods — avoid temptation every time you open your kitchen cabinets by not buying chips, doughnuts, and other “trigger” foods.

Drinking too much sugar. Go for milk or water as beverages of choice. When you want to enjoy fresh juice, put the brakes on at a half-cup.

Skipping veggies. Vegetables supply nutrients that support all your body functions, including helping to regulate both blood pressure and blood sugar.Get a wide variety in deep hues — red, yellow, orange, and green.

Avoiding fish in favor of red meat. Fish like salmon and tuna are rich in heart-healthy omega-3 fatty acids. Don’t care for seafood? Other good sources of lean protein include chicken and beans.

Skipping exercise. Getting your weight and blood sugar under control means getting enough regular exercise. Though the goal is 150 minutes of aerobic exercise each week, if exercise doesn’t get you excited, make it easy on yourself and break down that total into manageable amounts — short but frequent bouts. “Just 10 minutes of walking several times a day is good,” says Shields.

Getting too little sleep. With less than five hours of sleep, you disrupt hormones that control hunger and blood glucose, so give yourself an earlier bedtime if you’ve been shortchanging yourself on the shut-eye. If snoring is a problem, talk with your doctor. You may have sleep apnea, which disrupts hormone levels and drives up blood sugar.

Diabetes Educators:

A Helping Hand If you need a bigger push to get moving, working with a certified diabetes educator can help. These health-care professionals have the important job of helping people learn how to manage diabetes successfully. The American Association of Diabetes Educators is a great resource for more information.

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Why drug for type II diabetes makes people fat?

Medication used to treat patients with type II diabetes activates sensors on brain cells that increase hunger, causing people taking this drug to gain more body fat, according to researchers at Georgia State University, Oregon Health and Science University, Georgia Regents University and Charlie Norwood Veterans Administration Medical Center.
The study, published on March 18, 2015 in The Journal of Neuroscience, describes a new way to affect hunger in the brain and helps to explain why people taking a class of drugs for type II diabetes gain more body fat.
Type II diabetes, the most common form of diabetes, affects 95 percent of diabetes sufferers. People with type I or type II diabetes have too much glucose, or sugar, in their blood. Type II diabetes develops most often in middle-aged and older adults and people who are overweight and inactive, according to the National Institute of Diabetes and Digestive and Kidney Diseases.
The research team found that sensors in the brain that detect free circulating energy and help use sugars are located on brain cells that control eating behavior. This is important because many people with type II diabetes are taking antidiabetics, known as thiazolidinediones (TZDs), which specifically activate these sensors, said Johnny Garretson, study author and doctoral student in the Neuroscience Institute and Center for Obesity Reversal at Georgia State.
The study found peroxisome proliferator-activated receptor ϒ (PPARϒ) sensors on hunger-stimulating cells, known as agouti-related protein (AgRP) cells, at the base of the brain in the hypothalamus. Activating these PPARϒ sensors triggers food hoarding, food intake and the production of more AgRP. When AgRP cells are activated, animals become immediately hungry. These cells are so potent they will wake a rodent up from slumber to go eat, Garretson said.
TZDs help to treat insulin resistance, in which the body doesn’t use insulin the way that it should. They help the body’s insulin work properly, making blood glucose levels stay on target and allowing cells to get the energy they need, according to the National Institute of Diabetes and Digestive and Kidney Diseases.
“People taking these TZDs are hungrier, and they do gain more weight. This may be a reason why,” Garretson said. “When they’re taking these drugs, it’s activating these receptors, which we believe are controlling feeding through this mechanism that we found. We discovered that activating these receptors makes our rodent animal model eat more and store more food for later, while blocking these receptors makes them eat less and store less food for later, even after they’ve been food deprived and they’re at their hungriest.”
The research team includes Dr. Timothy Bartness, director of the Center for Obesity Reversal at Georgia State; Johnny Garretson and Drs. Brett J. W. Teubner and Vitaly Ryu of Georgia State; Dr. Kevin L. Grove of Oregon Health and Science University; and Dr. Almira Vazdarjanova of Georgia Regents. The study was funded by the National Institutes of Health and National Science Foundation.
________________________________________
Story Source:
The above story is based on materials provided by Georgia State University. Note: Materials may be edited for content and length.
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Journal Reference:
J. T. Garretson, B. J. W. Teubner, K. L. Grove, A. Vazdarjanova, V. Ryu, T. J. Bartness. Peroxisome Proliferator-Activated Receptor Controls Ingestive Behavior, Agouti-Related Protein, and Neuropeptide Y mRNA in the Arcuate Hypothalamus. Journal of Neuroscience, 2015; 35 (11): 4571 DOI:10.1523/JNEUROSCI.2129-14.2015

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Diabetics beware: Prepare for cough, cold or flu

Each year, an average of 200,000 Americans are hospitalized because of flu complications, but people with type 1 or type 2 diabetes are three times more likely to face complications that may be fatal, according to the Centers for Disease Control and Prevention. The best step is prevention, and anyone with diabetes should seriously consider getting a flu shot in the fall.
But for those who do get sick, it’s important that people with diabetes be prepared. The following sick-day plan is designed to help diabetic patients suffering from a cough, a cold or the flu.
Get plenty of sleep, and even when awake, do resting activities (reading, watching TV, online shopping) as long as you don’t find it stressful.
“Feed a cold, starve a fever” is not advice you should follow. Eat plenty of healthy items that are also easy to digest, like soups, sugar-free Jell-O and fruit juice mixed with water and yogurt. Dehydration will cause your blood sugar to drop, so drink one cup of sugar-free, caffeine-free liquid per hour.
Medicine cabinets must go beyond a glucose meter and thermometer. You should also have ketone-testing supplies and appropriate medications for cold and flu symptoms. “When suffering from a cough, cold or flu, it’s important for people with diabetes to treat their symptoms with medicine that doesn’t have a negative effect on their diabetes,” says Debra Spector, registered dietitian and certified nutritionist.
“Most people don’t realize that cough syrups can contain up to 50 percent sugar, and cold and flu medicines may contain alcohol, both of which can raise one’s glucose, possibly to dangerous levels. Diabetic Tussin has been trusted by the medical community for years because it is sugar and alcohol-free, so it’s 100 percent safe for diabetics. It’s even recommended for those on a sodium or gluten-free diet,” says Spector.
Take your insulin and diabetes medicine on schedule, even if you experience nausea or haven’t eaten. Check your blood glucose at least four times a day.
If your symptoms worsen, contact your doctor.
Distributed by Internet Broadcasting. This material may not be published, broadcast, rewritten or redistributed.

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Regular Meals — Don’t Starve Yourself

 

While it may seem counterintuitive for quick weight loss, eating three meals a day is important when trying to shed pounds. Skipping breakfast can lead to excessive hunger, which can sabotage a healthy diet and cause you to overeat later in the day. Consider starting the day off with filling oatmeal or another whole grain cereal to keep you feeling satisfied longer. And don’t try to substitute a snack for a meal — your body will know the difference.