Friday, January 18, 2013

Smoothie Recipe


Strawberry-Banana Smoothies

Planning a kids' party? This creamy fruit drink recipe makes a delicious alternative to soda or sweet juice drinks.

MAKES: 8 servings

SERVING SIZE: 1/2 cup

CARB GRAMS PER SERVING: 12
 
Nutrition Facts Per Serving:

·         Servings Per Recipe: 8

·         cal.(kcal): 54

·         Fat, total(g): 1

·         chol.(mg): 1

·         carb.(g): 12

·         fiber(g): 2

·         pro.(g): 2

·         sodium(mg): 15

Diabetic Exchanges

·         Fruit(d.e): 1

·         4 cups sliced fresh strawberries

·         1 medium banana, sliced

·         1 6 ounce carton vanilla low-fat yogurt

·         1 cup ice cubes

·         1 kiwifruit, peeled and sliced (optional)

1.    In a blender, combine strawberries, banana, and yogurt; cover and blend until smooth. With blender running, add ice cubes, one at a time, through hole in the lid; blend until smooth. Pour into 8 small glasses. If desired, garnish with kiwifruit; serve immediately. Makes 8 (about 1/2-cup) servings.

2.    TIP: Add an ounce of Rum or Vodka for the 'older' kids!

 

All about HCG for weight loss


I am frequently asked about HCG by my patients and why I don't use it in my practice.
Well here is a great article on HCG from WebMD.
 
 
 
 
The Truth About hCG for Weight Loss
Why do I need to register or sign in for WebMD to save?

We will provide you with a dropdown of all your saved articles when you are registered and signed in.By

Kathleen M. Zelman, MPH, RD, LD
WebMD Expert Review

Editor’s Note: In December 2011, the FDA and Federal Trade Commission issued warning letters to seven companies marketing over-the-counter hCG products labeled as “homeopathic” for weight loss. The letters warned the companies that they are violating federal law by selling drugs that have not been approved, and by making unsupported claims for the products.

Diets don’t have to be traditional to be effective -- but when a weight loss diet involves injections of hCG (human chorionic gonadotropin), a hormone found in the urine of pregnant women, you better be careful.

Two thirds of U.S. adults are overweight or obese. That staggering statistic drives an insatiable appetite for solutions --preferably ones that are quick and easy.

Some dieters grow frustrated with slow weight loss and start looking for a quick fix. Like the "lose 30 pounds in 30 days" promise in The Weight Loss Cure 'They' Don’t Want You to Know About that promotes hCG.

How the hCG Diet Works

In theory, the hCG hormone is supposed to suppress hunger and trigger your body’s use of fat for fuel.

Most hCG diet plans restrict dieters to only 500 calories per day of mostly organic, unprocessed foods along with the hCG injections or serum drops under the tongue (note: The oral hCG may contain little, if any, hCG). Follow the plan for 45 days straight, you will fix your metabolism, and lose several pounds a day, so the advertisements claim.

That's unlikely, say diet and nutrition experts. You will lose weight on the hCG diets but the weight loss will be the result of the very low-calorie or starvation-like diet, not the hCG.

Weight of the Evidence

Although it may sound like a plausible weight loss plan, the scientific evidence for using hCG is lacking.

In 1995, the British Journal of Clinical Pharmacology published an analysis of research showing no benefit of hCG in promoting weight loss. A December 2009 position paper of the American Society of Bariatric Physicians concluded they did not recommend hCG as a weight loss aid.

Quack Watch.org director Stephen Barrett, MD tells WebMD that "scientific studies have demonstrated that hCG injections do not cause weight loss.”

He describes the protocol as extreme, nearly impossible to adhere to, and senseless, especially because the clinical trials have demonstrated that hCG is ineffective as a weight loss aid.

There are no FDA-approved hCG weight loss products, and the FDA and Federal Trade Commission have cracked down on several companies marketing hCG weight loss products

Potential Health Risks

Not only will you waste your money on hCG, but there are also potential consequences -- from side effects of the product and self-injections to nutritional deficiencies.

It is virtually impossible to meet your nutritional needs for carbohydrates, protein, fats, and fiber with less than 500 calories per day and the diet will most likely result in vitamin and mineral deficiencies.

Minimum calorie levels are closer to 1200-1500 daily to satisfy hunger, fuel daily activities, and provide all the nutrients you need for good health each day.

When calories consumed are so low or close to starvation level, your body not only burns fat, but also muscle mass can be used for fuel. The last thing any dieter needs is to lose precious muscle mass, because that is what keeps your metabolism at its best. Not only will you lose fat and muscle, odds are the weight lost will return and when it does, it usually returns as all fat.

The bottom line: If it sounds too good to be true, it probably is. Besides, if losing weight were as simple as promised by the hCG diet, why would the obesity epidemic continue to exist in the U.S.?

Studies show the best diet is the one you can stick with. And there is little chance anyone can stick with this diet plan. Choose a diet that works for your lifestyle, but don’t choose one that requires expensive and worthless hCG.

Kathleen Zelman, MPH, RD, is director of nutrition for WebMD. Her opinions and conclusions are her own.

 

 

Tuesday, January 15, 2013

Potlucks and More ....


How to Survive (and Thrive) at a Potluck

Potluck buffet spreads can be loaded with temptations, but with the right approach, you can serve up some healthful choices and not feel deprived. Find simple tips and tricks to enjoy your next potluck without blowing your diabetes eating plan.

By Lauren Swann, R.D., LDN

The Dish You Take

Smart potluck decisions start at home: Figure out a dish you can take so you're guaranteed at least one healthful option. Then plan how other foods can fit on your plate.

Contributing foods that suit your meal plan lets you assume control over your potluck choices. Grilled veggies -- served hot or cold -- add nutritious variety to the table. Vegetable skewers with zucchini, summer squash, mushrooms, and pepper chunks are easy to pick up -- and with cubes of lean meat, they make an entree.

Remember salads, too. "Coleslaw or potato or macaroni salad made healthy with generous amounts of colorful chopped vegetables and low-fat mayonnaise or plain low-fat yogurt is a healthy complement to a potluck meal," says Roniece Weaver, R.D., L.D., coauthor of The New Soul Food Cookbook for People with Diabetes (American Diabetes Association, 2006). Weaver also encourages homemade broccoli slaw as an alternative to cabbage coleslaw.

For a sandwich buffet, think about whole wheat pita pocket halves. You can serve them with stuff-it-yourself fillings such as lean meats, plain tuna, reduced-fat cheese, tomato, and spinach.

Picking Your Plate

Once you arrive at the gathering, remember how much you figured you could eat while still keeping your blood glucose stable. Take a walk around the table to decide which foods will work, then aim for a balanced and colorful plate.

"Load up on veggies first," dietitian Roniece Weaver says, "so you won't overdo on the meat." For starchy vegetables, such as potato salad, "think about portion control." Portions at a potluck should be much smaller than at a regular meal because you're eating a wider variety of foods.

For meat, "hot dogs are not the best choice. Even though they may be grilled, all the fat won't drip off, plus they're high in sodium. Chicken and turkey franks can even be high in fat and sodium," Weaver says, noting that you can max out your fat quota for the day. Instead, stick to lower-fat basics such as oven-"fried" skinless chicken, grilled fish, or lean ground beef or turkey breast burgers on whole wheat buns.

For barbecue, Weaver says: "Practice moderation -- no more than two saucy spareribs, because many purchased sauces contain ingredients that up the carbohydrate. Sliced pork tenderloin is a leaner choice, and you can use low-sodium seasonings to add the classic barbecue flavor."

For dessert, spring and summer are prime seasons for freshly picked melon, peaches, and berries -- pure, simple, sweet, colorful, and juicy.

Throughout the potluck, be sure to drink plenty of fluids, especially water. "And make sure sodas, iced tea, and lemonade are sugar-free," Weaver says.

Focus on Fun

Potlucks are as much about sharing stories and fun as they are about food, so focus less on feeding at the table and more on feeding your soul. Keep yourself strategically located as far from the food as possible.

8 Potluck Pointers

1.    Observe the food spread. Think about your eating plan. Then dig in.

2.    Keep an eye on portions. Spoon up smaller portions than usual because you'll eat more variety than at home.

3.    Control the carbs. Enjoy small servings of high-carb offerings such as corn on the cob, potato salad, pasta salad, and sweets.

4.    Choose lean meats. A skinless chicken breast, fish, pork loin, or a lean turkey or beef burger is a good bet.

5.    Be discerning about desserts. Seasonal fruits are a good choice.

6.    Avoid nonstop noshing by positioning yourself away from the food. Goodies may abound all day, but try to stick to your meal plan. If you crave chips, bring baked tortilla chips with salsa or low-fat dip.

7.    Eat safely. Make sure hot foods stay hot (above 140 degrees F) and cold foods stay cold (below 40 degrees F). Cover foods to keep insects at bay.

8.    Check your blood glucose if you're more active than normal. Splashing in the water or playing a game of volleyball can cause blood sugar to become too low if you take certain blood glucose-lowering medicines that can cause hypoglycemia. You may need to eat a bit more to compensate.

 

Friday, January 11, 2013

How to eat right at the Mall Food Court


What to Eat at the Food Court

(From Diabetic Living magazine)

 

When your hunger bell rings in the halls of the mall, the food court is ready with all kinds of tempting morsels. Unfortunately, the less-healthful picks usually outweigh the nutritious choices. At most malls, you're faced with menus that boast burgers, fries, pizza, subs, sweet rolls, and pretzels. When you're attempting to eat healthfully, what should you order?

 

By Hope S. Warshaw, M.S., R.D., CDE, BC-ADM

 

Finding Healthful Options

"Mall food courts can be danger zones that serve up plenty of deep-fried or cheese-topped offerings," says Anne Daly, M.S., R.D., CDE, BC-ADM, director of the Springfield Diabetes and Endocrine Center in Illinois. "A key to success is having a plan of attack for finding healthful options." With a handful of strategies, you can put together nutritious meals to match your diabetes eating goals, as well as fuel your power shopping.

 

Healthful Menu Options

For lunch or dinner, opt for the following and you'll be striking a good nutrition bargain:

·         Main-dish salad with a low-calorie dressing on the side. Then go light on the dressing.

·         Pizza loaded with veggies rather than high-fat meats and cheeses. Limit yourself to one large or two small slices. And thin crust keeps the carbs down.

·         6-inch sub with turkey, lean ham, or roast beef on whole grain bread. Pile on the vegetables -- lettuce, tomatoes, peppers (green and hot), and onions -- and other low-fat toppers. Request mustard and vinegar, but skip the oil and mayonnaise.

·         Grilled chicken sandwich with a garden salad or baked chips.

·         Roasted chicken quarter with two steamed-vegetable side dishes.

·         Vegetable plate or stir-fry with brown or white rice.

·         Baked potato stuffed with broccoli or chili and a little cheese sauce.

 

Nutrition Lowdown

·         Many national restaurant chains offer nutrition information for their menu items on the Web or at the counter. Plan ahead to meet your meal-plan targets. Before you dine out, search the restaurant's Web site or refer to a restaurant dining resource to find healthful menu items and combinations. Add the nutrition numbers to make your choices. Try to stay within your car, sodium, and saturated fat limits.

·         If you approach shopping for snacks or meals as strategically as you do shopping for gifts, you'll soon discover the best nutrition values by comparing numbers.

 

10 At-the-Mall Eating Tips

Keep these suggestions in mind the next time you head for the mall:

1.    Don't let yourself get too hungry, which can lead to over-ordering and overeating.

2.    Pick your restaurant and determine your order before the sights and smells influence you. "Odds are that you know the restaurants and menu items already," Daly says. "Have an order at the tip of your tongue, and don't hesitate."

3.    Enjoy a salad or broth- or bean-base soup as a starter so you'll feel full and eat less overall.

4.    Order a couple of small items to share. You can eat small amounts from two or three vendors and enjoy a medley of tastes without overindulging.

5.    Take advantage of a la carte ordering -- try an appetizer, a side item, a bowl of soup, or a piece of fruit.

6.    Look for smaller portions. Panda Express offers two-item versus three-item entree plates. Order pizza by the slice or half of a sandwich. Ask for child-size portions, whether it's a main course or a frozen dessert.

7.    Don't spend your calories on sugar in beverages unless those calories offer nutrition, such as fat-free milk or 100 percent juice. Or opt for water, sparkling water, or unsweetened iced tea.

8.    Bring along thirst-quenching, low-calorie fluids to save on pocket change, quell hunger, and stay hydrated. "I never leave home without my water bottle," says Jean Ortman, who is aiming to prevent type 2 diabetes.

9.    Spend some extra steps. Walk as much as you can while shopping to burn more calories.

10.  Steer clear of food courts altogether. "If I'm shopping for hours, I bring along healthful snacks or enjoy a balanced meal at a sit-down restaurant," Ortman says. "If it's a short excursion, I eat before I leave home."

Hope Warshaw, M.S., R.D., CDE, BC-ADM, wrote the American Diabetes Association's Guide to Healthy Restaurant Eating and is on the editorial board of Diabetic Living Magazine.

 

Wednesday, January 9, 2013

4 More reasons to not drink sodas

4 Reasons to Avoid All Soda (Even Diet)
By Reader's Digest Magazine | Healthy Living –  
 
That innocent-looking can of soda pop-no matter what it's sweetened with-may be 
taking a toll on your immunity.
Here's why:
1. People who drink sodas instead of healthy beverages (think low-fat
milk and pure fruit juice) are less likely to get adequate vitamin A,
calcium, and magnesium. What's more, soda contains phosphoric acid
that depletes calcium and magnesium. These two nutrients help keep
your immunity operating at peak efficiency.
2. Sodas containing high-fructose corn syrup also contain high levels
of free radicals linked to tissue damage, the development of diabetes,
and diabetic complications.
3. Plastic soda (and water) bottles contain a toxic chemical called
bisphenol A (BPA) that can leach from bottles into soda…into you.
Emerging evidence links BPA to a myriad of maladies, including immune
system depression. Public health experts recommend that we protect
children from exposure to products containing BPA-especially those
they consume or use every day.
4. Diet soda actually contributes to weight gain. A study of 1,550
people concluded that people who drink diet soda have a 41 percent
increased risk of being overweight or obese-for every can or bottle
they drink per day! Turns out, any sweet taste signals body cells to
store fat and carbohydrates, which makes you hungrier. Sweet tastes
also promote insulin release, which blocks your body's ability to burn
fat. The hard truth: No published study has ever proven that drinking
diet soda will help you lose weight.

Friday, January 4, 2013

Healthier Snacks and Drinks

Let us start off the New Year right!

Here are a few ideas for healthier snacks and drinks:

Chips:

TJ's Veggie and Flaxseed Tortilla Chips
(130 cals/oz w/ < 6 grams of fat)

Kettle Brand Baked Potato Chips w/ Sea Salt
(120 cals/oz w/ < 3 grams of fat)

Terra Exotic Harvest Sweet Onion Vegetable Chips
(14 cals/oz w/ < 6 grams of fat)


Drinks:

Skinny Margarita

1.5 oz Tequila
0.75 oz Lime Juice (preferably fresh squeezed)
0.25 oz Orange Juice
2 tsp of stevia based sweetener (Purevia, Truvia, etc.)

Add crushed ice to fill a cocktail shaker half-way. Add all of the above and shake.
Strain into a salt rimmed cocktail glass with a few ice-cubes. Garnish with a slice of lime.

Enjoy!

Happy New Year.

Friday, December 28, 2012

Happy New Year

Well another year has passed by and doesn't every year seem to go by faster than the one before?
Well it means that it is never too early to start on something new, because before you know it another year will have gone by again.
Why not resolve to improve your health in 2013?

Why not quit smoking, quit or cut back on drinking, eat healthier and exercise more?

'Easy for you to say doc, but it's not so easy to do?' you say, shaking your head.

Well nothing is easy, but we have to keep trying. Life is one big trial, after all, and we don't get a second chance.

Of all the above, quitting smoking and drinking are obviously the hardest. But do not despair. There are many options for quitting and help is available.

Let me first talk about smoking:

First of all think about all the noxious stuff you are inhaling and what it is doing to your respiratory tract and especially the lungs. You know how harmful it is, and how many diseases it causes- from  heart, lung and circulatory diseases to multiple cancers.
Secondly think of all the money you are wasting - with all the Federal and State taxes on tobacco, you are paying a small fortune to puff away your hard-earned dollars.
Thirdly think of all the Corporate Executive-types who are getting rich off your habit.
If all of the above doesn't want to make you quit, then think of your loved ones.
Think of the following every time you light up:
Every cigarette you smoke reduces your life by 11 minutes, every carton by 1 and 1/2 days and every pack smoked daily reduces your life by 2 months per year!
If you want to quit and find it hard, there are many medical and non-medical options which include nicotine replacement (patch, gum, e-cigarette) as well as prescription medications which reduce cravings (bupropion, Chantix, etc.).
Regarding alcohol: you can think of all of the above (though you have to substitute your liver for the respiratory tract) but in addition think of alcohol related driving injuries and death, alcohol related violence and mental problems.
If you are an alcoholic and want to quit, joining a program would be the best option.

As far as eating is concerned - it is much easier to do than the above. Make a resolution to eat better, eat less and eat healthier in 2013. Make an eating plan and follow it! Follow the plan while eating at home and while eating out.

And please start exercising. Do any exercise that suits you, but do something! Even walking in the mall is better than sitting on your couch and watching television.

Well to end on a happier note:

 A GLASS OF CHAMPAGNE (4 OZ.) HAS ABOUT 85 CALORIES, SO DRINK UP AND DANCE AWAY (DANCING CAN BURN 8-12 CALORIES/MINUTE)!

                       HAPPY NEW YEAR!